Provider Demographics
NPI:1568244275
Name:MUELLER, LYNNETTE ANDREA (RRT)
Entity Type:Individual
Prefix:MS
First Name:LYNNETTE
Middle Name:ANDREA
Last Name:MUELLER
Suffix:
Gender:F
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9165 CHATWELL CLUB DR APT 14
Mailing Address - Street 2:
Mailing Address - City:DAVISON
Mailing Address - State:MI
Mailing Address - Zip Code:48423-2856
Mailing Address - Country:US
Mailing Address - Phone:989-890-1020
Mailing Address - Fax:
Practice Address - Street 1:9165 CHATWELL CLUB DR
Practice Address - Street 2:
Practice Address - City:DAVISON
Practice Address - State:MI
Practice Address - Zip Code:48423-2856
Practice Address - Country:US
Practice Address - Phone:989-890-1020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-17
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4401004994227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered