Provider Demographics
NPI:1194868216
Name:LAWTON, LYNETTE AUTIN (CRNA)
Entity Type:Individual
Prefix:
First Name:LYNETTE
Middle Name:AUTIN
Last Name:LAWTON
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:LYNETTE
Other - Middle Name:A
Other - Last Name:FLOWERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 840853
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-0865
Mailing Address - Country:US
Mailing Address - Phone:972-233-1999
Mailing Address - Fax:972-233-3666
Practice Address - Street 1:12222 MERIT DR STE 600
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75251-3294
Practice Address - Country:US
Practice Address - Phone:972-715-5000
Practice Address - Fax:972-715-9976
Is Sole Proprietor?:No
Enumeration Date:2007-02-15
Last Update Date:2022-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX686446367500000X
TXAP114692367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX074287OtherCRNA RECERTIFICATION
TX178840801Medicaid
TX86222UOtherBCBS
TX686446OtherTSBNE
TXP00315512OtherRAILROAD
TXP00315512OtherRAILROAD