Individual
LYNETTE M CASTRONOVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
3401 N PERRYVILLE RD, ROCKFORD, IL 61114-8011
(815) 971-2000
(815) 971-9447
Mailing address
3401 N PERRYVILLE RD, ROCKFORD, IL 61114-8011
(815) 971-2000
(815) 971-9447
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209006392
IL
363L00000X
Nurse Practitioner
4704200188
MI
363LG0600X
Gerontology Nurse Practitioner
Primary
209006392
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4368173
—
MI
Enumeration date
04/27/2006
Last updated
04/06/2016
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