Individual
LISA LYNN GASKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
FOURTH STREET, BLDG 166, FORT IRWIN, CA 92310
(760) 380-3199
Mailing address
FOURTH STREET, BLDG 166, FORT IRWIN, CA 92310
(760) 380-3199
Taxonomy
Speciality
Code
Description
License number
State
163WM0102X
Maternal Newborn Registered Nurse
Primary
0001175531
VA
Other
Enumeration date
08/17/2006
Last updated
07/08/2007
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