Provider Demographics
NPI:1902016033
Name:FLYNN, LADA (NP)
Entity Type:Individual
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First Name:LADA
Middle Name:
Last Name:FLYNN
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Gender:F
Credentials:NP
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Mailing Address - Street 1:3643 N ROXBORO ST
Mailing Address - Street 2:DURHAM REGIONAL HOSPITAL: ENDOCRINOLOGY
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27704-2702
Mailing Address - Country:US
Mailing Address - Phone:919-470-8265
Mailing Address - Fax:919-470-5242
Practice Address - Street 1:3643 N ROXBORO ST
Practice Address - Street 2:DURHAM REGIONAL HOSPITAL: ENDOCRINOLOGY
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27704-2702
Practice Address - Country:US
Practice Address - Phone:919-470-8265
Practice Address - Fax:919-470-5242
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2010-06-30
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Provider Licenses
StateLicense IDTaxonomies
NC50-02903363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner