Lieuallen, Lynn Marie
Lieuallen, Lynn Marie is an individual health care provider with primary practice located at 2461 Sw Perkins Ave , Pendleton OR 97801-4301. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Lieuallen, Lynn Marie can be contacted via phone (541) 276-0250.Contact Information
Primary practice address
2461 Sw Perkins Ave
Pendleton OR 97801-4301
Phone: (541) 276-0250
Fax: (541) 276-0253
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 200350090NPFNPPP | Oregon |
Profile Details
NPI number | 1629069893 |
---|---|
LBN Legal business name | Lieuallen, Lynn Marie |
Credentials | Family Nurse Practitioner (FNP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 4th, 2005 |
Last updated | May 3rd, 2013 - about 12 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1629069893 | NPPES |
Oregon | MEDICAID | 297428 |
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