Provider Demographics
NPI:1861634404
Name:FILIPPINI, LYNNE M
Entity Type:Individual
Prefix:MS
First Name:LYNNE
Middle Name:M
Last Name:FILIPPINI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:960 N STATE ST
Mailing Address - Street 2:SUITE #B
Mailing Address - City:HEMET
Mailing Address - State:CA
Mailing Address - Zip Code:92543-1400
Mailing Address - Country:US
Mailing Address - Phone:951-652-3560
Mailing Address - Fax:951-929-2780
Practice Address - Street 1:960 N STATE ST
Practice Address - Street 2:SUITE #B
Practice Address - City:HEMET
Practice Address - State:CA
Practice Address - Zip Code:92543-1400
Practice Address - Country:US
Practice Address - Phone:951-652-3560
Practice Address - Fax:951-929-2780
Is Sole Proprietor?:No
Enumeration Date:2009-03-27
Last Update Date:2009-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA333901Medicaid
CA333903Medicaid