Individual
LYNN P PERLENFEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1050 GAIL GARDNER WAY, STE 300, PRESCOTT, AZ 86305-1630
(928) 717-5232
(928) 717-5238
Mailing address
PO BOX 10880, PRESCOTT, AZ 86304-0880
(928) 717-5232
(928) 717-5238
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5972
AZ
363A00000X
Physician Assistant
WY176
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120567600
—
WY
Enumeration date
05/28/2006
Last updated
09/22/2015
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