Moran, Mary Lynn
Moran, Mary Lynn is an sole proprietor health care provider with primary practice located at 2973 Woodside Rd , Woodside CA 94062-2443. She recently has only one registered license in Allopathic & Osteopathic Physicians / Facial Plastic Surgery, which is considered as her primary health care specialty. Moran, Mary Lynn can be contacted via phone (650) 851-0565.Contact Information
Primary practice address
2973 Woodside Rd
Woodside CA 94062-2443
Phone: (650) 851-0565
Fax: (650) 851-0520
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Facial Plastic Surgery | 207YS0123X | G-076828 | California |
Profile Details
| NPI number | 1417034877 |
|---|---|
| LBN Legal business name | Moran, Mary Lynn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Jul 20th, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417034877 | NPPES |
| California | MEDICAID | 00G768280 |
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