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General NPI Number Information
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NPI Number | 1174695308
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Entity Type | Individual
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Provider Name | LYNNE M HAWLEY M.S.
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Gender | Female
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Dates
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Enumeration Date | 11/14/2006
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Last Update Date | 11/10/2020
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Provider Practice Location Address
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Address Line | 5200 FAIRVIEW BLVD SPECIALTY CLINIC
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City | WYOMING
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State | MN
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Zip | 55092-8013
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Country | US
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Telephone | 651-982-7651
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Fax |
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Provider Business Mailing Address
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Address Line | 32443 OASIS RD
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City | CENTER CITY
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State | MN
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Zip | 55012-9613
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 5333
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 231HA2400X
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Taxonomy Name | Assistive Technology Practitioner Audiologist
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License Number | 5333
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 231HA2500X
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Taxonomy Name | Assistive Technology Supplier Audiologist
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License Number | 5333
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License Number State | MN
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Taxonomy #4
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | 5333
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License Number State | MN
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