| Doctor Name: | LYN MARIE PALACHECK |
| NPI Number: | 1326234469 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CNS |
| License Number: | R082801-7 |
| Business Practice Address: | 24750 Field Ave Forest Lake, MN - 550257214 |
| Business Phone Number: | 6512615360 |
| Business Fax Number: | 6514644845 |
| Mailing Address: | 24750 Field Ave, FOREST LAKE |
| State: | MN |
| Postal Code: | 550257214 |
| Phone Number: | 6512615360 |
| Fax Number: | 6514644845 |
| NPI Enumeration Date: | 09/21/2007 |
| NPI Last Update Date: | 09/21/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SA2200X |
| License Number: | R082801-7 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |