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Individual

LYNN W COLLINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1 BOONE RD, BREMERTON, WA 98312-1894
(425) 304-4138
(425) 304-4082
Mailing address
1 BOONE RD, BREMERTON, WA 98312-1894
(425) 304-4138
(425) 304-4082

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD00044822
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
32516600
WI
Enumeration date
06/22/2005
Last updated
03/29/2012
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