Stock, Lynn Marie

Stock, Lynn Marie is an individual health care provider with primary practice located at 190 Handley Rd , Tyrone GA 30290-2178. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Stock, Lynn Marie can be contacted via phone (770) 997-5714.

Contact Information

Primary practice address
190 Handley Rd Tyrone GA 30290-2178
Phone: (770) 997-5714
Fax: (770) 997-2844
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X F420310-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 000916 New York
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X RN202416 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X RN202416 Georgia

Profile Details

NPI number 1538162169
LBN Legal business name Stock, Lynn Marie
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2005
Last updated Apr 21st, 2016 - about 8 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 1538162169 NPPES
Georgia MEDICAID 152958666B
Georgia MEDICAID 02201430

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