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Mary Lynn Milam, FNP
Family Nurse Practitioner in Lubbock, Texas
NPI 1013956341

Mary Lynn Milam is a Family Nurse Practitioner based in Wolfforth, TX and is specialized in Family. Mary Lynn Milam practices in Lubbock, TX and has the professional credentials of FNP. The NPI Number for Mary Lynn Milam is 1013956341 and holds a License No. AP108194 (Texas).

The current practice location address for Mary Lynn Milam is 301 40Th St, Lubbock, TX and can be reached out via phone at 806-743-9355 and via fax at 806-743-9363.

Location: 301 40Th St, Lubbock, TX, 79382-5613
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013956341
Provider Name
Mary Lynn Milam
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
301 40Th St, Lubbock, TX, 79382-5613
Phone Number
806-743-9355
Fax Number
806-743-9363
Provider Enumeration Date
06/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8Y3717 01 TX BCBS
9078128 01 TX AETNA
institution
Provider Business Practice Location Address Details
Address
301 40Th St
City
Lubbock
State
Texas
Zip
79404-2746
Phone Number
806-743-9355
Fax Number
806-743-9363
person
Provider Business Mailing Address Details
Address
301 40Th St
City
Lubbock
State
Texas
Zip
79404-2746
Phone Number
806-743-9355
Fax Number
806-743-9363
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
AP108194 (Texas)
Definition
Definition to come...
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