Individual
MRS. LYNN DEE DERBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
235 E ROWAN AVE, STE 206, SPOKANE, WA 99207-1240
(509) 484-1212
(509) 484-1277
Mailing address
235 E ROWAN AVE, STE 206, SPOKANE, WA 99207-1240
(509) 484-1212
(509) 484-1277
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
MD00033468
WA
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
MD00033468
WA
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
MD00033468
WA
2086S0122X
Plastic and Reconstructive Surgery Physician
MD00033468
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010003163
REGENCE/BS PROVIDER #
WA
01
—
108611
L&I PROVIDER #
WA
05
—
1098144
—
WA
01
—
7545
GROUP HEALTH PROVIDER #
WA
01
—
DE0378
REGENCE/ASURIS PROVIDER #
WA
01
—
K7037
BC-IDAHO MANAGED CARE GR#
ID
Enumeration date
06/10/2005
Last updated
03/18/2010
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