Individual
LYNN HUBBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
314 LAGRANDE BLVD STE A, LADY LAKE, FL 32159-2393
(352) 430-0064
(352) 430-0497
Mailing address
314 LAGRANDE BLVD STE A, LADY LAKE, FL 32159-2393
(352) 430-0064
(352) 430-0497
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9115703
FL
363AM0700X
Medical Physician Assistant
MA058142
PA
363AM0700X
Medical Physician Assistant
Primary
PA9115703
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA9115703
FLORIDA LICENSE
FL
Enumeration date
06/26/2006
Last updated
02/17/2022
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