Provider Demographics
NPI:1952679029
Name:KLINE, LUANNE LYNNE (RN)
Entity Type:Individual
Prefix:MRS
First Name:LUANNE
Middle Name:LYNNE
Last Name:KLINE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MISS
Other - First Name:LUANNE
Other - Middle Name:LYNNE
Other - Last Name:FINSTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:123 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:12526-5326
Mailing Address - Country:US
Mailing Address - Phone:518-537-6281
Mailing Address - Fax:518-537-6115
Practice Address - Street 1:123 MAIN ST
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:NY
Practice Address - Zip Code:12526-5326
Practice Address - Country:US
Practice Address - Phone:518-537-6281
Practice Address - Fax:518-537-6115
Is Sole Proprietor?:No
Enumeration Date:2011-12-05
Last Update Date:2011-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY423888-1163WH0200X, 163WM0102X, 163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool
No163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163WM0102XNursing Service ProvidersRegistered NurseMaternal Newborn