Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 4301090744 | MI |
N | 208600000X | Surgeon | 4301090744 | MI |
Y | 2086S0102X | Surgical Critical Care | 4301090744 | MI |
NPI | 1265632467 |
---|---|
Provider Name | Lynn Damaris Munoz |
First Address | Lansing, MI 48912-1800 |
Second Address | Lansing, MI 48912 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2007 |
Last Update Date | 15/08/2018 |