Individual
LYNN ANN CROCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1111 E MCDOWELL RD, WT LL1 CASE MANAGEMENT, PHOENIX, AZ 85006-2612
(602) 839-2000
(602) 839-5918
Mailing address
PO BOX 29834, PHOENIX, AZ 85038-9834
(602) 553-8400
(602) 553-8408
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
3966
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
862781-01
—
AZ
Enumeration date
09/21/2005
Last updated
03/11/2015
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