Provider Demographics
NPI:1518144955
Name:LAIN, LYNN S (SLP)
Entity Type:Individual
Prefix:MS
First Name:LYNN
Middle Name:S
Last Name:LAIN
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 TIGER DR
Mailing Address - Street 2:
Mailing Address - City:DAINGERFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:75638-2500
Mailing Address - Country:US
Mailing Address - Phone:903-645-5081
Mailing Address - Fax:903-645-5731
Practice Address - Street 1:200 TIGER DR
Practice Address - Street 2:
Practice Address - City:DAINGERFIELD
Practice Address - State:TX
Practice Address - Zip Code:75638-2500
Practice Address - Country:US
Practice Address - Phone:903-645-5081
Practice Address - Fax:903-645-5731
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-29
Last Update Date:2022-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18343235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist