MEDICARE: LYNNE SILL

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	1041C0700X	Clinical Social Worker	8614420-3501	UT

General Provider Information

NPI Number	:	1699055061
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LYNNE SILL

Provider Business Mailing Address
First Line	:	370 E 1375 S
Second Line	:
City	:	KAYSVILLE
State	:	UT
Zip	:	84037-3074
Country	:	US
Telephone Number	:	801-414-4250
Fax Number	:

Provider Business Practice Location Address
First Line	:	8689 W SAHARA AVE STE 100
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-5871
Country	:	US
Telephone Number	:	702-330-5665
Fax Number	:	725-253-0830

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

Provider Enumeration Date	:	08/17/2011
Last Update Date	:	04/21/2026

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Directions to “ LYNNE SILL ” Practice Location

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