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Individual

MRS. LYNDA ELIZABETH BOCKMON

Active
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Individual

MRS. LYNDA ELIZABETH BOCKMON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ANP-BC, ACNP-BC

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP114362
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000560448001
BLUE CROSS BLUE SHIELD
NY
05
01951633
NY
05
189237401
TX
01
752616977008
TRICARE
TX
01
8Y2322
BCBS
TX
Enumeration date
05/08/2007
Last updated
04/27/2026
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