Doctor Name: | MR. WIN JIR LIN |
NPI Number: | 1306176433 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA-C |
License Number: | |
Business Practice Address: | 1585 3rd St Fort Polk, LA - 714595102 |
Business Phone Number: | 3375313517 |
Business Fax Number: | |
Mailing Address: | 901 Cherokee St, DERIDDER |
State: | LA |
Postal Code: | 706342773 |
Phone Number: | 2102138883 |
Fax Number: | |
NPI Enumeration Date: | 01/13/2010 |
NPI Last Update Date: | 01/13/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |