Provider Demographics
NPI:1184479511
Name:KUNTZ, LYNAE DAWN (LPN)
Entity type:Individual
Prefix:MRS
First Name:LYNAE
Middle Name:DAWN
Last Name:KUNTZ
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 OLD LANDING RD
Mailing Address - Street 2:
Mailing Address - City:MILLSBORO
Mailing Address - State:DE
Mailing Address - Zip Code:19966-1210
Mailing Address - Country:US
Mailing Address - Phone:302-947-1920
Mailing Address - Fax:
Practice Address - Street 1:315 OLD LANDING RD
Practice Address - Street 2:
Practice Address - City:MILLSBORO
Practice Address - State:DE
Practice Address - Zip Code:19966-1210
Practice Address - Country:US
Practice Address - Phone:302-947-1920
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-19
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL2-0024452164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse