Individual
LYNN MARIE FRYDRYCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3555 S NATIONAL AVE, SPRINGFIELD, MO 65807-7310
(417) 875-3246
(417) 875-3810
Mailing address
PO BOX 505673, SAINT LOUIS, MO 63150-5673
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
2024011403
MO
208200000X
Plastic Surgery Physician
MD480968
PA
390200000X
Student in an Organized Health Care Education/Training Program
162004
CA
390200000X
Student in an Organized Health Care Education/Training Program
4301104772
MI
Other
Enumeration date
06/04/2014
Last updated
10/04/2024
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