Individual
LYNNE ELLEN REINKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
5874 AUGUSTA LN, GRAND BLANC, MI 48439-9472
(810) 240-2695
Mailing address
5874 AUGUSTA LN, GRAND BLANC, MI 48439-9472
(810) 240-2695
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401013892
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
BD
—
MI
Enumeration date
10/12/2016
Last updated
10/12/2016
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