Provider Demographics
NPI:1396930913
Name:CABRAL, LYNN C
Entity type:Individual
Prefix:
First Name:LYNN
Middle Name:C
Last Name:CABRAL
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 1:488 HEATHERLY HEIGHTS RD
Mailing Address - Street 2:
Mailing Address - City:SALUDA
Mailing Address - State:NC
Mailing Address - Zip Code:28773-7747
Mailing Address - Country:US
Mailing Address - Phone:828-749-3350
Mailing Address - Fax:
Practice Address - Street 1:2470 LYNN RD STE D
Practice Address - Street 2:
Practice Address - City:TRYON
Practice Address - State:NC
Practice Address - Zip Code:28782-6689
Practice Address - Country:US
Practice Address - Phone:828-859-6201
Practice Address - Fax:828-859-6201
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-06
Last Update Date:2009-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC312738374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide