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Individual

LYNN ELLEN MARONY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CPNP

Contact information

Practice address
12100 EUCLID ST, GARDEN GROVE, CA 92840-3304
(714) 741-3580
Mailing address
1665 SCENIC AVE., SUITE 100, COSTA MESA, CA 92626
(714) 846-2647

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
290698
CA

Other

Enumeration date
06/28/2007
Last updated
12/05/2012
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