Individual
MS. LYNN MARIE STOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
190 HANDLEY RD, TYRONE, GA 30290-2178
(770) 997-5714
(770) 997-2844
Mailing address
190 HANDLEY RD, TYRONE, GA 30290-2178
(770) 997-5714
(770) 997-2844
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
F420310-1
NY
363LW0102X
Women's Health Nurse Practitioner
RN202416
GA
367A00000X
Advanced Practice Midwife
000916
NY
367A00000X
Advanced Practice Midwife
Primary
RN202416
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02201430
—
NY
05
—
152958666B
—
GA
Enumeration date
05/27/2005
Last updated
04/21/2016
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