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Individual

LYNN J. GOODLOE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
7230 MEDICAL CENTER DR STE 302, WEST HILLS, CA 91307-4032
(818) 518-5980
(818) 337-2049
Mailing address
7230 MEDICAL CENTER DR STE 302, WEST HILLS, CA 91307-4032
(818) 518-5980
(818) 337-2049

Taxonomy

Speciality
Code
Description
License number
State
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
G44674
CA
207YX0602X
Otolaryngic Allergy Physician
G44674
CA
2083T0002X
Medical Toxicology (Preventive Medicine) Physician
G44674
CA
208D00000X
General Practice Physician
Primary
G44674
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G446740
CA
Enumeration date
01/08/2007
Last updated
06/16/2015
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