Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 142068 | CA |
NPI | 1073747176 |
---|---|
Provider Name | Stephanie Norris Lin |
First Address | Santa Maria, CA 93454-6917 |
Second Address | San Luis Obispo, CA 93401-4170 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2009 |
Last Update Date | 11/08/2016 |