Provider Demographics
NPI:1538487616
Name:MENZIES, LYNN DIANE (RN)
Entity Type:Individual
Prefix:MRS
First Name:LYNN
Middle Name:DIANE
Last Name:MENZIES
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3941 MILLER PLACE
Mailing Address - Street 2:
Mailing Address - City:PLAINEDGE
Mailing Address - State:NY
Mailing Address - Zip Code:11756
Mailing Address - Country:US
Mailing Address - Phone:516-796-9832
Mailing Address - Fax:
Practice Address - Street 1:3941 MILLER PLACE
Practice Address - Street 2:
Practice Address - City:PLAINEDGE
Practice Address - State:NY
Practice Address - Zip Code:11756
Practice Address - Country:US
Practice Address - Phone:516-796-9832
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-13
Last Update Date:2010-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY342985163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0200XNursing Service ProvidersRegistered NursePediatrics