Provider Demographics
NPI:1720386964
Name:PEREZ, LYNN CATHERINE (RN)
Entity Type:Individual
Prefix:MRS
First Name:LYNN
Middle Name:CATHERINE
Last Name:PEREZ
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MISS
Other - First Name:LYNN
Other - Middle Name:CATHERINE
Other - Last Name:THOMAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:1215 AVONDALE LN
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33409-2076
Mailing Address - Country:US
Mailing Address - Phone:954-232-0122
Mailing Address - Fax:
Practice Address - Street 1:1309 N FLAGLER DR
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-3406
Practice Address - Country:US
Practice Address - Phone:561-650-6300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-12
Last Update Date:2011-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN 9164311163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant