Dr. Mary Lynn Moran
Facial Plastic Surgeon
2973 Woodside Rd
Woodside
, California 94062-2443
Dr. Mary Lynn Moran
Facial Plastic Surgeon
2973 Woodside Rd
Woodside
, California 94062-2443
(615) 224-8387
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About
Features
Specialties
- Facial Plastic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Mary Lynn Moran
- 600a Frazier Dr Ste 120
- Franklin, TN
- Zip : 37067-4670
- Phone : (615) 224-8387
Second Address
- Dr. Mary Lynn Moran
- 2973 Woodside Rd
- Woodside, CA
- Zip : 94062-2443
- Fax : (650) 851-0520
- Phone : (650) 851-0565
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207YS0123X | Facial Plastic Surgeon | G-076828 | CA |
National Provider Identifier
| NPI | 1417034877 |
|---|---|
| Provider Name | Dr. Mary Lynn Moran |
| First Address | Franklin, TN 37067-4670 |
| Second Address | Woodside, CA 94062-2443 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/11/2006 |
| Last Update Date | 20/07/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00G768280 | (05) | CA |
| E69463 | (02) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.