| NPI | 1073569083 |
|---|---|
| Former Name | LYNN ADAIR LUNDQUIST |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 3780) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: ID PA333) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2014-04-16 |