Individual
LYNNE BLACKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1484 E MAIN ST, VENTURA, CA 93001-3201
(805) 657-9822
Mailing address
5850 THILLE ST STE 103, VENTURA, CA 93003-5492
(805) 657-9822
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
95003706
CA
Other
Enumeration date
02/04/2016
Last updated
03/07/2025
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