Provider Demographics
NPI:1972582864
Name:HOWE, LYNETTE MARIE (LISW)
Entity Type:Individual
Prefix:MS
First Name:LYNETTE
Middle Name:MARIE
Last Name:HOWE
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:LYNETTE
Other - Middle Name:M
Other - Last Name:DOLTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1120 UNIVERSITY AVE
Mailing Address - Street 2:
Mailing Address - City:DUBUQUE
Mailing Address - State:IA
Mailing Address - Zip Code:52101-6160
Mailing Address - Country:US
Mailing Address - Phone:563-536-3733
Mailing Address - Fax:563-557-1470
Practice Address - Street 1:1120 UNIVERSITY AVE
Practice Address - Street 2:
Practice Address - City:DUBUQUE
Practice Address - State:IA
Practice Address - Zip Code:52101-6160
Practice Address - Country:US
Practice Address - Phone:563-536-3733
Practice Address - Fax:563-557-1470
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA003411041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA115631Medicare ID - Type Unspecified