| NPI | 1154374106 |
|---|---|
| Former Name | LYNNE ANN EZERSKY |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KS 0431527) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NE 17221) |
| 207Q00000X Family Medicine (Licence: AK 4966) | |
| 207Q00000X Family Medicine (Licence: MT 9697) | |
| 207Q00000X Family Medicine (Licence: OR MD24012) | |
| 207Q00000X Family Medicine (Licence: ID M8326) | |
| 207Q00000X Family Medicine (Licence: SD 5302) | |
| 207Q00000X Family Medicine (Licence: MD D0056833) | |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2012-12-04 |