Provider Demographics
NPI:1184863946
Name:PILANEN, LYNN MARIE
Entity type:Individual
Prefix:MS
First Name:LYNN
Middle Name:MARIE
Last Name:PILANEN
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:LYNN
Other - Middle Name:MARIE
Other - Last Name:LANGONE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:115 FRANK ST
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-3638
Mailing Address - Country:US
Mailing Address - Phone:732-937-6567
Mailing Address - Fax:
Practice Address - Street 1:2250 HICKORY ROAD
Practice Address - Street 2:SUITE 5
Practice Address - City:PLYMOUTH MEETING
Practice Address - State:PA
Practice Address - Zip Code:19462
Practice Address - Country:US
Practice Address - Phone:800-950-6066
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-02-18
Last Update Date:2009-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NP04760200164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse