Kugler-Clark, Lynn J

Kugler-Clark, Lynn J is an individual health care provider with primary practice located at 701 W Morse Blvd , Winter Park FL 32789-3731. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Kugler-Clark, Lynn J can be contacted via phone (407) 629-8121.

Contact Information

Primary practice address
701 W Morse Blvd Winter Park FL 32789-3731
Fax: (407) 629-7250
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9100866 Florida

Profile Details

NPI number 1063441814
LBN Legal business name Kugler-Clark, Lynn J
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2006
Last updated Jul 8th, 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 1063441814 NPPES
Florida Other PA9100866 PA LICENSE NUMBER

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