Individual
MS. LYNN LOUISE VAN NORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1997 W 12TH AVE, EUGENE, OR 97402-3521
(541) 344-1314
Mailing address
27662 BRIGGS HILL RD, EUGENE, OR 97405-9734
(541) 344-6759
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
4131
OR
Other
Enumeration date
04/17/2007
Last updated
07/08/2007
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