Mrs. Lynn R. Thibodeau PA
Physician Assistant in Fleming Island, FL(View on Map)
Full Name
Mrs. Lynn R Thibodeau PA
NPI Number
1811992696
NPI Type
Individual Provider
Gender
Female
Enumeration Date
06/17/2005
Specialties
(Taxonomies)Licenses
State
Florida
License Number
PA9107879
Contact
Information
Purpose
Mailing
Location
Address
PO BOX 102222
4689 US HIGHWAY 17 STE 2
City
Atlanta
Fleming Island
State
GA
FL
Postal Code
30368-2222
32003-4831
Country
US
US
Telephone Number
(239) 274-8200
(904) 269-6526
Identifiers
Identifier
015211100
Identifier State
FL
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 07/10/2024
Provider Address
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