Provider Demographics
NPI:1275680878
Name:MCNAIR-LEVI, LYNIECE RENNEY (MS, AT, ATC)
Entity Type:Individual
Prefix:MS
First Name:LYNIECE
Middle Name:RENNEY
Last Name:MCNAIR-LEVI
Suffix:
Gender:F
Credentials:MS, AT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2291 LINCOLN MANOR DR
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48507-4415
Mailing Address - Country:US
Mailing Address - Phone:248-756-3197
Mailing Address - Fax:
Practice Address - Street 1:12500 HOLLY RD
Practice Address - Street 2:
Practice Address - City:GRAND BLANC
Practice Address - State:MI
Practice Address - Zip Code:48439-1868
Practice Address - Country:US
Practice Address - Phone:810-591-4303
Practice Address - Fax:810-591-6690
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2014-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer