Individual
LYNNE MARIE LOUNSBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
451 HEALTH PKWY, SUITE B, PAW PAW, MI 49079-8242
(269) 655-3065
(269) 655-0588
Mailing address
451 HEALTH PKWY, SUITE B, PAW PAW, MI 49079-8242
(269) 655-3065
(269) 655-0588
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704145261
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105174835
—
MI
05
—
1861492423
—
MI
01
—
700H060020
BCBSM
MI
Enumeration date
07/26/2005
Last updated
10/16/2014
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