Lyndsi K Tepen PA

NPI 1750716726 - Physician Assistant - 363A00000X

NPI Details
NPI 1750716726
Gender Female
Enumeration Date 09/10/2013
Last Updated 03/23/2016
Entity Type Individual
Active Over 3 years ago
Practice Location
4 MEMORIAL DR
STE 130B
ALTON IL, 62002-6751, US
Phone (618) 463-7600
Fax (618) 463-7601
Business Location
670 MASON RIDGE CENTER DR
STE 300
SAINT LOUIS MO, 63141-8573, US
Phone (618) 463-7600
Fax (618) 463-7601
Toxanomy
Taxonomy Code 363A00000X
License State Illinois
License Number 085004916
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According to our database, Lyndsi K Tepen PA NPI is 1750716726, taxonomy code is 363A00000X and license number is 085004916, license state is located at Illinois. Lyndsi K Tepen PA physically located at 4 Memorial Dr, Alton IL, 62002-6751. NPI Number Lyndsi K Tepen PA has the Individual type.

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1750716726 NPI number is provided on an as is basis without warranty of any kind. 1750716726 is maintained by the National Plan & Provider Enumeration System. The contents of Lyndsi K Tepen PA are for informational purposes only.