Hart, Lynette C

Hart, Lynette C is an individual health care provider with primary practice located at 1800 N California St , Stockton CA 95204-6019. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Hart, Lynette C can be contacted via phone (209) 467-6330.

Contact Information

Primary practice address
1800 N California St Stockton CA 95204-6019
Phone: (209) 467-6330
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 00G284190 California

Profile Details

NPI number 1639154438
LBN Legal business name Hart, Lynette C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2005
Last updated Jul 9th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639154438 NPPES
California MEDICAID 00G284190

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