Individual
LYN ANN DAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
914 PINEHURST RD SE, SUITE 102, RIO RANCHO, NM 87124-2219
(505) 896-9412
(505) 896-2505
Mailing address
914 PINEHURST RD SE, SUITE 102, RIO RANCHO, NM 87124-2219
(505) 896-9412
(505) 896-2505
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R41741
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CS00213187
CONTROLLED SUBSTANCE LIC
NM
Enumeration date
11/24/2007
Last updated
07/28/2014
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