Provider Demographics
NPI:1437469053
Name:SKINNER, LYNN MARIE (ARNP, ACNS-BC)
Entity Type:Individual
Prefix:
First Name:LYNN
Middle Name:MARIE
Last Name:SKINNER
Suffix:
Gender:F
Credentials:ARNP, ACNS-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325 MAINE ST
Mailing Address - Street 2:LAWRENCE MEMORIAL HOSPITAL; 2 NORTH
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66044-1360
Mailing Address - Country:US
Mailing Address - Phone:785-505-2569
Mailing Address - Fax:
Practice Address - Street 1:325 MAINE ST
Practice Address - Street 2:LAWRENCE MEMORIAL HOSPITAL; 2 NORTH
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66044-1360
Practice Address - Country:US
Practice Address - Phone:785-505-2569
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-16
Last Update Date:2010-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-74587-121364SA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health