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Individual

LYNDA JO FOLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
1414 W FAIR AVE, SUITE 149, MARQUETTE, MI 49855-2675
(906) 225-3892
Mailing address
1414 W FAIR AVE, STE 249, MARQUETTE, MI 49855-5406
(906) 225-4821
(906) 225-4537

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
5601001049
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00347098
RAILROAD MEDICARE
MI
Enumeration date
08/11/2006
Last updated
07/13/2017
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