Individual
MRS. LYNN L MILLIMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
430 S VINE ST, BASTROP, LA 71220-4514
(318) 283-3930
(318) 239-8930
Mailing address
PO BOX 293, BASTROP, LA 71221-0293
(318) 283-3930
(318) 239-8930
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
AP03436
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1180858
—
LA
Enumeration date
02/06/2007
Last updated
05/25/2023
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