Provider Demographics
NPI:1437700671
Name:LAWTON, LYNNE (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:LYNNE
Middle Name:
Last Name:LAWTON
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3915 BAYBERRY LN
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48911-6172
Mailing Address - Country:US
Mailing Address - Phone:517-643-1428
Mailing Address - Fax:
Practice Address - Street 1:3915 BAYBERRY LN
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48911-6172
Practice Address - Country:US
Practice Address - Phone:517-643-1428
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-27
Last Update Date:2019-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI7101006525235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist