Individual
LYNNE CONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.N.P.
Contact information
Practice address
12505 LEBANON RD, FRISCO, TX 75035-8298
(214) 343-6663
(214) 343-2814
Mailing address
1121 E SPRING CREEK PKWY, STE. 110, #319, PLANO, TX 75074
(214) 343-6663
(214) 343-2814
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
642405
TX
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
110688
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
642405
LICENSE
TX
Enumeration date
04/21/2006
Last updated
06/20/2024
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