| NPI | 1568489458 |
|---|---|
| Former Name | LYNN ANN DAMICO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: AZ 4904) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WV 01190) |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2023-01-05 |