Lieuallen, Lynn Marie

Lieuallen, Lynn Marie is an individual health care provider with primary practice located at 2461 Sw Perkins Ave , Pendleton OR 97801-4301. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Lieuallen, Lynn Marie can be contacted via phone (541) 276-0250.

Contact Information

Primary practice address
2461 Sw Perkins Ave Pendleton OR 97801-4301
Phone: (541) 276-0250
Fax: (541) 276-0253
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 200350090NPFNPPP Oregon

Profile Details

NPI number 1629069893
LBN Legal business name Lieuallen, Lynn Marie
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2005
Last updated May 3rd, 2013 - about 13 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 1629069893 NPPES
Oregon MEDICAID 297428

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