LYNN VANDAME

FORT WAYNE, IN
NPI1225070071
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IN  10000375A)
Enumeration Date2006-06-12
Last Update Date2007-07-10
Business Address
-- LYNN VANDAME PAC
2121 LAKE AVE
FORT WAYNE, IN 46805-5100
Phone number: 260-426-5431
Mailing Address
-- LYNN VANDAME PAC
2121 LAKE AVE
FORT WAYNE, IN 46805-5100
Phone number: 260-426-5431
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