Provider Demographics
NPI:1326170648
Name:CHAMBERS, LYNNETTE D (CPM RM)
Entity Type:Individual
Prefix:MS
First Name:LYNNETTE
Middle Name:D
Last Name:CHAMBERS
Suffix:
Gender:F
Credentials:CPM RM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:337 23RD AVENUE CT
Mailing Address - Street 2:
Mailing Address - City:GREELEY
Mailing Address - State:CO
Mailing Address - Zip Code:80631-1549
Mailing Address - Country:US
Mailing Address - Phone:970-534-1002
Mailing Address - Fax:
Practice Address - Street 1:337 23RD AVENUE CT
Practice Address - Street 2:
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80631-1549
Practice Address - Country:US
Practice Address - Phone:970-534-1002
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO88176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife