Individual
LYNNE AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
555 E CHEVES ST, FLORENCE, SC 29506-2617
(843) 777-8752
(843) 777-8705
Mailing address
PO BOX 100551, FLORENCE, SC 29502-0551
(843) 777-8752
(843) 777-8705
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1390
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000926329A
—
GA
05
—
AN1029
—
SC
Enumeration date
04/10/2006
Last updated
04/12/2010
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