Lynn J Kugler-Clark, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9100866 Issued in FL

Practice address

701 W Morse Blvd
Winter Park, FL 32789-3731

Phone

(407) 629-8121

Fax

(407) 629-7250

NPI assigned

Jul 2, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063441814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 W MORSE BLVD",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327893731",
            "telephone_number": "407-629-8121",
            "fax_number": "407-629-7250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 W MORSE BLVD",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327893731",
            "telephone_number": "407-629-8121",
            "fax_number": "407-629-7250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUGLER-CLARK",
        "first_name": "LYNN",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9100866",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA LICENSE NUMBER",
            "identifier": "PA9100866",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenneth A. Krumins, M.D.
• Brianna Kuck
• Lisa Kay Kuehn, OTR
• Megan Kuester, AUD
• Brandy Kuffel, MS
• Alexandria Rose Kugler
• Vivek Kumar, D.O.
• Lun Cheung Kung, PHARMD
• Elizabeth Anne Kunz, LCSW
• Kevin Nirappukandathil Kuriakose, M.D.

• Medical Physician Assistant in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.