MEDICARE: MS. LYNETTE GASCOIGNE BS, RCS, RVT

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	246XS1301X	Sonography Specialist/Technologist Cardiovascular

General Provider Information

NPI Number	:	1427565860
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LYNETTE GASCOIGNE BS, RCS, RVT

Provider Business Mailing Address
First Line	:	18833 TOWN RIDGE LN APT 1424
Second Line	:
City	:	WEBSTER
State	:	TX
Zip	:	77598-1598
Country	:	US
Telephone Number	:	385-315-5628
Fax Number	:

Provider Business Practice Location Address
First Line	:	18833 TOWN RIDGE LANE
Second Line	:	APT 1424
City	:	WEBSTER
State	:	TX
Zip	:	77598-7759
Country	:	US
Telephone Number	:	385-315-5628
Fax Number	:	385-315-5628

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

Provider Enumeration Date	:	01/08/2018
Last Update Date	:	01/08/2018

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