LYNN IDELL MOGENSEN

FORT WORTH, TX
NPI1093305401
Former NameLYNN IDELL LATOUR
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TX  1025471)
Enumeration Date2021-01-20
Last Update Date2021-01-20
Business Address
LYNN IDELL MOGENSEN FNP
2004 NOTTINGHAM BLVD
FORT WORTH, TX 76112-5229
Phone number: 530-949-1291
Mailing Address
LYNN IDELL MOGENSEN FNP
2004 NOTTINGHAM BLVD
FORT WORTH, TX 76112-5229
Phone number: 530-949-1291
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