Provider Demographics
NPI:1376992792
Name:TUSCHOFF, LYNNLIE (RN)
Entity type:Individual
Prefix:
First Name:LYNNLIE
Middle Name:
Last Name:TUSCHOFF
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4099 MCEWEN
Mailing Address - Street 2:SUITE 250
Mailing Address - City:FARMERS BRACH
Mailing Address - State:TX
Mailing Address - Zip Code:75244
Mailing Address - Country:US
Mailing Address - Phone:214-754-8700
Mailing Address - Fax:877-614-6192
Practice Address - Street 1:4099 MCEWEN
Practice Address - Street 2:SUITE 250
Practice Address - City:FARMERS BRACH
Practice Address - State:TX
Practice Address - Zip Code:75244
Practice Address - Country:US
Practice Address - Phone:214-754-8700
Practice Address - Fax:877-614-6192
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-07
Last Update Date:2016-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX669316163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse