Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | ML20008202 | WA |
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | A116002 | CA |
NPI | 1679688238 |
---|---|
Provider Name | Lynn L Chiu-Collins |
First Address | San Francisco, CA 94102-1401 |
Second Address | San Francisco, CA 94102-1401 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/08/2006 |
Last Update Date | 04/01/2017 |