Provider Demographics
NPI:1649045584
Name:DUSKY, LYNNE ESTELLE (RRT)
Entity type:Individual
Prefix:
First Name:LYNNE
Middle Name:ESTELLE
Last Name:DUSKY
Suffix:
Gender:F
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2243 HAMATA ST
Mailing Address - Street 2:
Mailing Address - City:FERNDALE
Mailing Address - State:MI
Mailing Address - Zip Code:48220-1549
Mailing Address - Country:US
Mailing Address - Phone:586-596-5311
Mailing Address - Fax:
Practice Address - Street 1:2243 HAMATA ST
Practice Address - Street 2:
Practice Address - City:FERNDALE
Practice Address - State:MI
Practice Address - Zip Code:48220-1549
Practice Address - Country:US
Practice Address - Phone:586-596-5311
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-21
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI15719227900000X
CT4438227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered