MEDICARE: LYNNE C. LAMY RN

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	163W00000X	Registered Nurse	RN3404952	FL

General Provider Information

NPI Number	:	1629026828
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LYNNE C. LAMY RN

Provider Business Mailing Address
First Line	:	18001 PRAIRIE CREEK BLVD
Second Line	:
City	:	PUNTA GORDA
State	:	FL
Zip	:	33982-8644
Country	:	US
Telephone Number	:	941-639-1152
Fax Number	:	941-639-1152

Provider Business Practice Location Address
First Line	:	18001 PRAIRIE CREEK BLVD
Second Line	:
City	:	PUNTA GORDA
State	:	FL
Zip	:	33982-8644
Country	:	US
Telephone Number	:	941-639-1152
Fax Number	:	941-639-1152

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

Provider Enumeration Date	:	05/04/2006
Last Update Date	:	07/08/2007

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