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NPI Code Detail

MEDICARE: MS. LYNN A DEVLIN PA

MEDICARE: MS. LYNN A DEVLIN PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant008335NY
2363AM0700XMedical Physician Assistant4181AZ
3363AM0700XMedical Physician AssistantPA2008-0033NM

General Provider Information

NPI Number : 1811965254
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LYNN A DEVLIN PA
Provider Business Mailing Address
First Line : 4730 BECKNER RD
Second Line :
City : SANTA FE
State : NM
Zip : 87507-3691
Country : US
Telephone Number : 59-894-5005
Fax Number : 505-443-8313
Provider Business Practice Location Address
First Line : 4730 BECKNER RD
Second Line :
City : SANTA FE
State : NM
Zip : 87507-3691
Country : US
Telephone Number : 59-894-5005
Fax Number : 505-443-8313
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/10/2006
Last Update Date : 06/04/2025

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