Individual
LYNN R COPELAND
Active
Individual
LYNN R COPELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
J0464
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115811504
—
TX
05
—
115811506
—
TX
01
—
35698
AMERICAID
TX
01
—
3740661
CIGNA
TX
01
—
4573693
AETNA
TX
01
—
811119
AETNA
TX
01
—
84440Y
BLUE CROSS
TX
Enumeration date
08/02/2005
Last updated
05/20/2008
Update your record
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