Provider Demographics
NPI:1861461527
Name:HILL, LYNNE RANEY (AUD)
Entity Type:Individual
Prefix:DR
First Name:LYNNE
Middle Name:RANEY
Last Name:HILL
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:613 THOMPSON AVE
Mailing Address - Street 2:
Mailing Address - City:EL DORADO
Mailing Address - State:AR
Mailing Address - Zip Code:71730
Mailing Address - Country:US
Mailing Address - Phone:870-574-1262
Mailing Address - Fax:870-864-0306
Practice Address - Street 1:613 THOMPSON AVE
Practice Address - Street 2:
Practice Address - City:EL DORADO
Practice Address - State:AR
Practice Address - Zip Code:71730-4557
Practice Address - Country:US
Practice Address - Phone:870-574-1262
Practice Address - Fax:870-864-0306
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-15
Last Update Date:2010-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR51231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ARP25883Medicare UPIN
AR5W292Medicare ID - Type Unspecified