Provider Demographics
NPI:1952563397
Name:CHOATE, LYNETTE DIANE (LVN)
Entity Type:Individual
Prefix:MISS
First Name:LYNETTE
Middle Name:DIANE
Last Name:CHOATE
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3102 PAINTED MEADOW CIR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-4937
Mailing Address - Country:US
Mailing Address - Phone:281-492-3422
Mailing Address - Fax:
Practice Address - Street 1:3102 PAINTED MEADOW CIR
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-4937
Practice Address - Country:US
Practice Address - Phone:281-492-3422
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-26
Last Update Date:2008-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX171442164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse