Provider Demographics
NPI:1184310187
Name:SINGLETON, LYNETTE DENISE
Entity type:Individual
Prefix:
First Name:LYNETTE
Middle Name:DENISE
Last Name:SINGLETON
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 1:50 MOUNTAIN AVE
Mailing Address - Street 2:
Mailing Address - City:NEW LONDON
Mailing Address - State:CT
Mailing Address - Zip Code:06320-5635
Mailing Address - Country:US
Mailing Address - Phone:860-213-0342
Mailing Address - Fax:860-437-8503
Practice Address - Street 1:50 MOUNTAIN AVE
Practice Address - Street 2:
Practice Address - City:NEW LONDON
Practice Address - State:CT
Practice Address - Zip Code:06320-5635
Practice Address - Country:US
Practice Address - Phone:860-213-0342
Practice Address - Fax:860-437-8503
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-12
Last Update Date:2023-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider