Provider Demographics
NPI:1841817343
Name:THOWSON, LYNLEY RACHEL
Entity type:Individual
Prefix:
First Name:LYNLEY
Middle Name:RACHEL
Last Name:THOWSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LYNLEY
Other - Middle Name:
Other - Last Name:MARSHALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:17725 S PLACITA JUNIO
Mailing Address - Street 2:
Mailing Address - City:GREEN VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85614-4436
Mailing Address - Country:US
Mailing Address - Phone:520-850-9579
Mailing Address - Fax:
Practice Address - Street 1:17725 S PLACITA JUNIO
Practice Address - Street 2:
Practice Address - City:GREEN VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85614-4436
Practice Address - Country:US
Practice Address - Phone:520-850-9579
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-30
Last Update Date:2020-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN159979163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice