Individual
DR. LYNN M NYQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1301 15TH AVE W, WILLISTON, ND 58801-3821
(701) 774-7470
(701) 774-7479
Mailing address
1301 15TH AVE W, WILLISTON, ND 58801-3821
(701) 774-7470
(701) 774-7479
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14250
ND
207Q00000X
Family Medicine Physician
225698-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02339742
—
NY
05
—
1468995
—
ND
Enumeration date
04/13/2006
Last updated
08/02/2018
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