Healthcare Provider Details

I. General information

NPI: 1619120441
Provider Name (Legal Business Name): MRS. LYNNE M BERNIER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/24/2008
Last Update Date: 10/24/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

515 NORTH AVE
ROCHESTER MA
02770-1836
US

IV. Provider business mailing address

66 TROY ST
FALL RIVER MA
02720-3023
US

V. Phone/Fax

Practice location:
  • Phone: 508-676-5708
  • Fax:
Mailing address:
  • Phone: 508-676-5708
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: