Individual provider · Type 1 NPI

Mary Lynn Moran, MD

Facial Plastic Surgery Physician · Woodside, CA

NPI number 1417034877 Active

Practice location

2973 Woodside Rd
Woodside, CA 94062-2443

Call (650) 851-0565 Map

Fax (650) 851-0520

Mailing address

600A Frazier Dr Ste 120
Franklin, TN 37067-4670

Specialties and licenses

Taxonomy	Code	License
Facial Plastic Surgery Physician Primary	207YS0123X	G-076828 (CA)

Facial Plastic Surgery Physician: An otolaryngologist who specializes in facial plastic surgery.

About NPI 1417034877

Mary Lynn Moran, MD's National Provider Identifier is 1417034877, issued on Nov 1, 2006. The primary taxonomy on file is Facial Plastic Surgery Physician (207YS0123X), and the practice location is in Woodside, CA. The record was last updated on Sep 11, 2025.