Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 231874 | TX |
NPI | 1003976531 |
---|---|
Provider Name | Ms. Lynda Marie Few |
First Address | Jasper, TX 75951-9478 |
Second Address | Beaumont, TX 77706-3067 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/12/2006 |
Last Update Date | 08/07/2007 |