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NPI Code Detail

MEDICARE: LYNN C DENHAM-MARTIN N.P.

MEDICARE: LYNN C DENHAM-MARTIN N.P.
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
1363L00000XNurse PractitionerNP13867CA

General Provider Information

NPI Number : 1144389362
Entity Type Code : Individual
Provider Name (Legal Business Name) : LYNN C DENHAM-MARTIN N.P.
Provider Business Mailing Address
First Line : PO BOX 255347
Second Line :
City : SACRAMENTO
State : CA
Zip : 95865-5347
Country : US
Telephone Number : 800-470-0071
Fax Number :
Provider Business Practice Location Address
First Line : 2751 DEL PASO RD
Second Line :
City : SACRAMENTO
State : CA
Zip : 95835-2303
Country : US
Telephone Number : 916-419-1443
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/06/2006
Last Update Date : 07/08/2007

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