Individual
LYNETTE CYNTHIA BUCKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
25401 HARPER AVE, SAINT CLAIR SHORES, MI 48081-2240
(586) 466-6912
Mailing address
54621 MAHOGANY DR, MACOMB, MI 48042-2215
(586) 781-6195
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704122172
MI
Other
Enumeration date
02/07/2007
Last updated
07/08/2007
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