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NPI Code Detail

MEDICARE: LYNN MARIE SZABO PAC

MEDICARE: LYNN MARIE SZABO PAC
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
1363AM0700XMedical Physician AssistantPA12136CA

General Provider Information

NPI Number : 1336234806
Entity Type Code : Individual
Provider Name (Legal Business Name) : LYNN MARIE SZABO PAC
Provider Business Mailing Address
First Line : 670 NINTH STREET
Second Line : SUITE 203
City : ARCATA
State : CA
Zip : 95521
Country : US
Telephone Number : 707-826-8633
Fax Number : 707-826-8638
Provider Business Practice Location Address
First Line : 1675 NORTHCREST DR
Second Line :
City : CRESCENT CITY
State : CA
Zip : 95531-8928
Country : US
Telephone Number : 707-464-2750
Fax Number : 707-464-2668
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2006
Last Update Date : 08/04/2022

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Directions to “ LYNN MARIE SZABO PAC” Practice Location

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