Gardner, Lynnell P

Gardner, Lynnell P is an sole proprietor health care provider with primary practice located at 6761 E Tanque Verde Rd Ste 6, Tucson AZ 85715-5323. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Gardner, Lynnell P can be contacted via phone (520) 298-2313.

Contact Information

Primary practice address
6761 E Tanque Verde Rd Ste 6 Tucson AZ 85715-5323
Fax: (520) 298-1554
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 18444 Arizona

Profile Details

NPI number 1043215049
LBN Legal business name Gardner, Lynnell P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 16th, 2005
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043215049 NPPES
Arizona MEDICAID 283870

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