Most Relevant Information
Provider Data
NPI Number: | 1003278029 |
Provider Name: | LYNNEA WILSON MORM |
Entity Type: | Individual |
Taxonomy Code: | 207Q00000X |
Specialty: | Family Medicine |
License Number: | 20A15880 |
Most Important Dates
Enumeration Date: | 03/28/2016 |
Last Updated: | 01/07/2020 |
Provider Practice Location
1403 LOMITA BLVD STE 102
HARBOR CITY
CA
907102084
Practice Location Phone/Fax
Phone: | 3105347600 |
Fax: |
Provider Mailing Location
1403 LOMITA BLVD STE 102
HARBOR CITY
CA
907102084
Provider Mailing Phone/Fax
Phone: | 3105347600 |
Fax: |
Suggested EMR
Family Practice EMR