Provider Demographics
NPI:1669153656
Name:FLOWERS, LYNESSA MARYBETH
Entity type:Individual
Prefix:
First Name:LYNESSA
Middle Name:MARYBETH
Last Name:FLOWERS
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 1:1912 16TH AVE APT 2
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94606-3952
Mailing Address - Country:US
Mailing Address - Phone:213-254-7991
Mailing Address - Fax:
Practice Address - Street 1:1912 16TH AVE APT 2
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94606-3952
Practice Address - Country:US
Practice Address - Phone:213-254-7991
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-31
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula