Provider Demographics
NPI:1811962822
Name:LYNN, JANET C (AUD AUDIOLOGIST)
Entity type:Individual
Prefix:DR
First Name:JANET
Middle Name:C
Last Name:LYNN
Suffix:
Gender:F
Credentials:AUD AUDIOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:925 HIGHWAY 55
Mailing Address - Street 2:CENTRAL COMMONS BLDG, SUITE 103
Mailing Address - City:HASTINGS
Mailing Address - State:MN
Mailing Address - Zip Code:55033-3734
Mailing Address - Country:US
Mailing Address - Phone:651-503-7372
Mailing Address - Fax:
Practice Address - Street 1:925 HIGHWAY 55
Practice Address - Street 2:CENTRAL COMMONS BLDG, SUITE 103
Practice Address - City:HASTINGS
Practice Address - State:MN
Practice Address - Zip Code:55033-3734
Practice Address - Country:US
Practice Address - Phone:651-503-7372
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-22
Last Update Date:2011-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN5022231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist