| Doctor Name: | MRS. LYNN MARIE STARK |
| NPI Number: | 1033260013 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN |
| License Number: | 125321 |
| Business Practice Address: | 851 N Kirkwood Rd Kirkwood, MO - 631222639 |
| Business Phone Number: | 3148350477 |
| Business Fax Number: | |
| Mailing Address: | 1800 Colina Tierra Ln, FENTON |
| State: | MO |
| Postal Code: | 630266316 |
| Phone Number: | 6363497854 |
| Fax Number: | |
| NPI Enumeration Date: | 01/16/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SP0807X |
| License Number: | 125321 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Psych/Mental Health, Child & Adolescent |
| Taxonomy Definition: | |