Lynn Dee Derby in Spokane - Plastic Surgery Within The Head And Neck

Lynn Dee Derby - NPI 1750385209

Lynn Dee Derby is a Plastic Surgery Within The Head And Neck in Spokane, Washington. Lynn Dee Derby practices all healthcare services and medical treatments related to Plastic Surgery Within The Head And Neck. The NPI Number for Lynn Dee Derby is 1750385209. The last update date is 2010-03-18.

Lynn Dee Derby's current location address is 235 E Rowan Ave, Spokane, Washington. You can contact this provider via phone number 5094841212 and fax number 5094841277. The mailing address for Lynn Dee Derby is 235 E Rowan Ave, Spokane, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Lynn Dee Derby
Address 235 E Rowan Ave, Spokane, Washington
Phone Number 5094841212
Fax Number 5094841277
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1750385209
Provider Enumeration Date 2005-06-10
Last Updated Date 2010-03-18

Provider Mailing Address Detail

Address 235 E Rowan Ave
City Spokane
State Washington (WA)
Post Code 9920712400
Phone Number 5094841212
Fax Number 5094841277

Provider's Primary Taxonomy Detail

Speciality Plastic Surgery Within The Head And Neck
Taxonomy 2082S0099X
Licence No MD00033468
Definition:
A plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1098144 WA --
108611 WA L&I PROVIDER #
DE0378 WA REGENCE/ASURIS PROVIDER #
7545 WA GROUP HEALTH PROVIDER #
10003163 WA REGENCE/BS PROVIDER #
K7037 ID BC-IDAHO MANAGED CARE GR#

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FAQs about Lynn Dee Derby

What is the Lynn Dee Derby's 1750385209?

The Lynn Dee Derby's NPI (National Provider Identifier) Number is 1750385209. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Where is the Lynn Dee Derby located?

The Lynn Dee Derby is located at 235 E Rowan Ave, Spokane, WA 9920712400.

What is Lynn Dee Derby's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Lynn Dee Derby's specialized field of practice is Plastic Surgery Within The Head And Neck, and the corresponding taxonomy code that categorizes this area of specialization is 2082S0099X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1750385209 to Lynn Dee Derby?

The Centers for Medicare & Medicaid Services originally issued the 1750385209 to Lynn Dee Derby on 2005-06-10.

As of what date was the information regarding Lynn Dee Derby, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Lynn Dee Derby, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-03-18.

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