Dr LYNN A BOLENBAUGH is a female medical professional, specializing in Physician Assistant. She graduated in 2015 from University Of Nebraska College Of Medicine.
TANANA VALLEY CLINIC LLC
1001 NOBLE ST
FAIRBANKS
AK
997014948
Tel: 9074593500
| Npi | 1013131721 |
| Pac Id | 9335305382 |
| Professional Enrollment Id | I20180920001552 |
| Last Name | BOLENBAUGH |
| First Name | LYNN |
| Middle Name | A |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE |
| Graduation Year | 2015 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Secondary Specialty 1 | |
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| Organization Legal Name | TANANA VALLEY CLINIC LLC |
| Group Practice Pac Id | 5698056901 |
| Number Of Group Practice Members | 89 |
| Line 1 Street Address | 1001 NOBLE ST |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | FAIRBANKS |
| State | AK |
| Zip Code | 997014948 |
| Phone Number | 9074593500 |
| Hospital Affiliation Ccn 1 | 020012 |
| Hospital Affiliation Lbn 1 | FAIRBANKS MEMORIAL HOSPITAL |
| Hospital Affiliation Ccn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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