Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 036123043 | IL |
N | 208000000X | Pediatrician | 57012373 | OH |
N | 2080P0216X | Pediatric Rheumatologist | A113041 | CA |
Y | 2080P0216X | Pediatric Rheumatologist | DR.0052717 | CO |
NPI | 1043411580 |
---|---|
Provider Name | Dr. Clara Lin |
First Address | Aurora, CO 80042-0429 |
Second Address | Aurora, CO 80045-7106 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2007 |
Last Update Date | 22/08/2013 |