Provider Demographics
NPI:1265858732
Name:MUNROE, LYNN D (LPN)
Entity Type:Individual
Prefix:MRS
First Name:LYNN
Middle Name:D
Last Name:MUNROE
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:696 PLAIN ST
Mailing Address - Street 2:SUITE #2A
Mailing Address - City:MARSHFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:02050-2100
Mailing Address - Country:US
Mailing Address - Phone:781-837-4316
Mailing Address - Fax:
Practice Address - Street 1:696 PLAIN ST
Practice Address - Street 2:SUITE #2A
Practice Address - City:MARSHFIELD
Practice Address - State:MA
Practice Address - Zip Code:02050-2100
Practice Address - Country:US
Practice Address - Phone:781-837-4316
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-08
Last Update Date:2014-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALN66389164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse