Stock, Lynn Marie
Stock, Lynn Marie is an individual health care provider with primary practice located at 190 Handley Rd , Tyrone GA 30290-2178. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Stock, Lynn Marie can be contacted via phone (770) 997-5714.Contact Information
Primary practice address
190 Handley Rd
Tyrone GA 30290-2178
Phone: (770) 997-5714
Fax: (770) 997-2844
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Women's Health | 363LW0102X | F420310-1 | New York |
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 000916 | New York |
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | RN202416 | Georgia |
| Physician Assistants & Advanced Practice Nursing Providers / Women's Health | 363LW0102X | RN202416 | Georgia |
Profile Details
| NPI number | 1538162169 |
|---|---|
| LBN Legal business name | Stock, Lynn Marie |
| Credentials | Certified Nurse Midwife (CNM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 27th, 2005 |
| Last updated | Apr 21st, 2016 - about 10 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 | 1538162169 | NPPES |
| Georgia | MEDICAID | 152958666B | |
| Georgia | MEDICAID | 02201430 |
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