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NPI Code Detail

MEDICARE: DR. LYNN ELIZABETH ASHLEY M.D.

MEDICARE: DR. LYNN ELIZABETH ASHLEY M.D.
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
1207Q00000XFamily Medicine Physician8005ND

General Provider Information

NPI Number : 1558317388
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LYNN ELIZABETH ASHLEY M.D.
Provider Business Mailing Address
First Line : 1746 3RD ST N
Second Line :
City : FARGO
State : ND
Zip : 58102-2334
Country : US
Telephone Number : 701-237-5896
Fax Number :
Provider Business Practice Location Address
First Line : 3318 N 14TH ST
Second Line :
City : BISMARCK
State : ND
Zip : 58503-1614
Country : US
Telephone Number : 701-323-8300
Fax Number : 701-323-8305
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2006
Last Update Date : 04/29/2022

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