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Individual

LYNDA ANN MACKIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1301 SHOREWAY RD, SUITE 100, BELMONT, CA 94002-4151
(650) 596-7000
(650) 596-7093
Mailing address
3160 FOLSOM BLVD, SACRAMENTO, CA 95816-5219
(916) 733-5701
(916) 733-3401

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
7017
CA

Other

Enumeration date
06/21/2007
Last updated
07/08/2007
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