Individual
MRS. LYNN FORSYTH CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN BA
Contact information
Practice address
1525 W FRYE RD, CHANDLER, AZ 85224-6178
(480) 812-7000
Mailing address
1525 W FRYE RD, CHANDLER, AZ 85224-6178
(480) 812-7000
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN163512
AZ
Other
Enumeration date
03/30/2011
Last updated
03/30/2011
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