Provider Demographics
NPI:1760671291
Name:WARD, LYNN GUNBY (RN)
Entity Type:Individual
Prefix:MS
First Name:LYNN
Middle Name:GUNBY
Last Name:WARD
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:OSU-SHS 108 SW MEMORIAL PLACE
Mailing Address - Street 2:201 PLAGEMAN
Mailing Address - City:CORVALLIS
Mailing Address - State:OR
Mailing Address - Zip Code:97331-5801
Mailing Address - Country:US
Mailing Address - Phone:541-737-3106
Mailing Address - Fax:541-737-9694
Practice Address - Street 1:OSU-SHS 108 SW MEMORIAL PLACE
Practice Address - Street 2:201 PLAGEMAN
Practice Address - City:CORVALLIS
Practice Address - State:OR
Practice Address - Zip Code:97331-5801
Practice Address - Country:US
Practice Address - Phone:541-737-2724
Practice Address - Fax:541-737-9694
Is Sole Proprietor?:No
Enumeration Date:2007-10-22
Last Update Date:2007-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR163WC1400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1400XNursing Service ProvidersRegistered NurseCollege Health