Provider Demographics
NPI:1780281709
Name:MORGAN BECKNELL, LYNETTE ELAINE (CD)
Entity type:Individual
Prefix:
First Name:LYNETTE
Middle Name:ELAINE
Last Name:MORGAN BECKNELL
Suffix:
Gender:F
Credentials:CD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:370 45TH ST
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94609-2255
Mailing Address - Country:US
Mailing Address - Phone:510-393-7380
Mailing Address - Fax:510-655-8045
Practice Address - Street 1:370 45TH ST
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94609-2255
Practice Address - Country:US
Practice Address - Phone:510-393-7380
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-02
Last Update Date:2020-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula