Healthcare Provider Details

I. General information

NPI: 1215315072
Provider Name (Legal Business Name): LYNN DUNCAN CRTT/RRT/CPFT/NPS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/13/2015
Last Update Date: 05/13/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2301 ERWIN RD
DURHAM NC
27705-4699
US

IV. Provider business mailing address

9547 SUMMER BREEZE LN
BULLOCK NC
27507-9606
US

V. Phone/Fax

Practice location:
  • Phone: 919-812-8386
  • Fax:
Mailing address:
  • Phone: 919-693-5468
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code227800000X
TaxonomyCertified Respiratory Therapist
License Number227800000X
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code2278P1006X
TaxonomyPulmonary Function Technologist Certified Respiratory Therapist
License Number2278P1006X
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code2278P3900X
TaxonomyNeonatal/Pediatric Certified Respiratory Therapist
License Number2278P3900X
License Number StateNC
# 4
Primary TaxonomyY
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License Number227900000X
License Number StateNC
# 5
Primary TaxonomyN
Taxonomy Code282NC2000X
TaxonomyChildren's Hospital
License Number282NC2000X
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: