Provider Demographics
NPI:1518199827
Name:MOHR, LYNN D (PHD APRN PCN-BC CPN)
Entity type:Individual
Prefix:MRS
First Name:LYNN
Middle Name:D
Last Name:MOHR
Suffix:
Gender:F
Credentials:PHD APRN PCN-BC CPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9038 PARRISH AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT JOHN
Mailing Address - State:IN
Mailing Address - Zip Code:46373-8700
Mailing Address - Country:US
Mailing Address - Phone:630-207-3138
Mailing Address - Fax:
Practice Address - Street 1:606 SOUTH PAULINA ST.
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612
Practice Address - Country:US
Practice Address - Phone:312-942-2047
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-20
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209004535163WC1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1600XNursing Service ProvidersRegistered NurseContinuing Education/Staff Development