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Individual

LINA M OBRIEN

Active
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Individual

LINA M OBRIEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
0429396
KS
208C00000X
Colon & Rectal Surgery Physician
Primary
2001023249
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100404020A
KS
05
205424005
MO
Enumeration date
06/13/2005
Last updated
01/13/2022
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