Individual
MS. LYNETTE MARIE AZURE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
320 4TH ST SE, DEVILS LAKE, ND 58301-3610
(701) 662-8128
Mailing address
320 4TH ST SE, DEVILS LAKE, ND 58301-3610
(701) 662-8128
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2600
AZ
Other
Enumeration date
08/03/2006
Last updated
07/08/2007
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