Provider Demographics
NPI:1720363252
Name:MORRISON, LYNNE UNA (LICAC)
Entity Type:Individual
Prefix:
First Name:LYNNE
Middle Name:UNA
Last Name:MORRISON
Suffix:
Gender:F
Credentials:LICAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10899 WATERBERRY CT
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33498-1686
Mailing Address - Country:US
Mailing Address - Phone:646-671-9674
Mailing Address - Fax:561-488-7522
Practice Address - Street 1:10899 WATERBERRY CT
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33498-1686
Practice Address - Country:US
Practice Address - Phone:646-671-9674
Practice Address - Fax:561-488-7522
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-16
Last Update Date:2011-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP3028171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist