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NPI Code Detail

MEDICARE: LYNSEY BARGER PA-C

MEDICARE: LYNSEY BARGER PA-C
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 Assistant12545MN

General Provider Information

NPI Number : 1205346459
Entity Type Code : Individual
Provider Name (Legal Business Name) : LYNSEY BARGER PA-C
Provider Business Mailing Address
First Line : 1900 SILVER LAKE RD NW STE 110
Second Line :
City : NEW BRIGHTON
State : MN
Zip : 55112-1789
Country : US
Telephone Number : 651-628-9566
Fax Number : 651-628-0411
Provider Business Practice Location Address
First Line : 11660 ROUND LAKE BLVD NW
Second Line :
City : COON RAPIDS
State : MN
Zip : 55433-2638
Country : US
Telephone Number : 763-274-3120
Fax Number : 763-274-3121
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2017
Last Update Date : 02/06/2020

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Directions to “ LYNSEY BARGER PA-C” Practice Location

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