Provider Demographics
NPI:1740327949
Name:FOSTER, LYNNE ANN (RN)
Entity type:Individual
Prefix:MS
First Name:LYNNE
Middle Name:ANN
Last Name:FOSTER
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 1:730 MCKINLEY AVE
Mailing Address - Street 2:
Mailing Address - City:WOODLAND
Mailing Address - State:CA
Mailing Address - Zip Code:95695-4653
Mailing Address - Country:US
Mailing Address - Phone:530-666-5255
Mailing Address - Fax:
Practice Address - Street 1:137 N. COTTONWOOD ST., STE. 2450
Practice Address - Street 2:
Practice Address - City:WOODLAND
Practice Address - State:CA
Practice Address - Zip Code:95695
Practice Address - Country:US
Practice Address - Phone:530-666-8645
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA235896163WC0400X, 163WI0500X, 163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163WC0400XNursing Service ProvidersRegistered NurseCase Management
Not Answered163WI0500XNursing Service ProvidersRegistered NurseInfusion Therapy
Not Answered163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical