MEDICARE: MS. LYNN LOUISE ALLEGRETTO APRN,CS/NP

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	363LA2200X	Adult Health Nurse Practitioner	153255	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1992881692
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LYNN LOUISE ALLEGRETTO APRN,CS/NP

Provider Business Mailing Address
First Line	:	4039 WOODLAND DR
Second Line	:
City	:	VERMILION
State	:	OH
Zip	:	44089-2093
Country	:	US
Telephone Number	:	440-967-6396
Fax Number	:

Provider Business Practice Location Address
First Line	:	254 CLEVELAND AVE
Second Line	:
City	:	AMHERST
State	:	OH
Zip	:	44001-1620
Country	:	US
Telephone Number	:	440-988-6104
Fax Number	:	440-988-6267

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

Provider Enumeration Date	:	10/27/2006
Last Update Date	:	07/25/2008

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