Individual
MS. LYNNE MARIE CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN, MSN
Contact information
Practice address
1750 W BROADWAY, COUNCIL BLUFFS, IA 51501-3814
(712) 215-6588
(712) 322-9585
Mailing address
44463 SYCAMORE RD, AVOCA, IA 51521-2019
(712) 249-6526
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
061951
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
061951
—
IA
Enumeration date
06/10/2020
Last updated
06/10/2020
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