SearchNorth Dakota363AM0700X

Lynette Azure, PA

NPI 1841208394 · on the registry since 2006 · sole proprietor

Practice

Address
320 4th St Se
Devils Lake, ND 58301
Phone
(701) 662-8128

Registry record

Primary taxonomy
363AM0700X
363AM0700X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Dakota