Provider Demographics
NPI:1942807599
Name:DOYLE, LYNANN ANNETTE
Entity Type:Individual
Prefix:
First Name:LYNANN
Middle Name:ANNETTE
Last Name:DOYLE
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 1:5301 CARLETON CT APT B
Mailing Address - Street 2:
Mailing Address - City:CROSS LANES
Mailing Address - State:WV
Mailing Address - Zip Code:25313-1073
Mailing Address - Country:US
Mailing Address - Phone:240-412-9741
Mailing Address - Fax:
Practice Address - Street 1:5301 CARLETON CT APT B
Practice Address - Street 2:
Practice Address - City:CROSS LANES
Practice Address - State:WV
Practice Address - Zip Code:25313-1073
Practice Address - Country:US
Practice Address - Phone:240-412-9741
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-07
Last Update Date:2022-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant