NPI 1841208394 · live from the CMS NPI Registry
Lynette Marie Azure, PA
Physician Assistant, Medical in Devils Lake, ND. National Provider Identifier 1841208394, active.
NPI record
| NPI | 1841208394 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant, Medical 363AM0700X |
| Practice location | 320 4th St Se, Devils Lake, ND 58301 |
| Practice phone | 701-662-8128 |
| Enumerated | August 3, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant, Medical primary | 363AM0700X | 2600 (AZ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.