MEDICARE: MS. LYNETTE CHRISTINE AUSTIN LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	2963-C	NV

General Provider Information

NPI Number	:	1326191693
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LYNETTE CHRISTINE AUSTIN LCSW

Provider Business Mailing Address
First Line	:	2921 N TENAYA WAY STE 210
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-1415
Country	:	US
Telephone Number	:	702-691-1100
Fax Number	:	702-649-2695

Provider Business Practice Location Address
First Line	:	2921 N TENAYA WAY STE 210
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-1415
Country	:	US
Telephone Number	:	702-691-1100
Fax Number	:	702-649-2695

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/19/2007
Last Update Date	:	07/08/2007

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