Doctor Name: | LYNN I RICE |
NPI Number: | 1003807579 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | C.P.N.P. |
License Number: | 300343 |
Business Practice Address: | 3801 Computer Dr Suite 200 Raleigh, NC - 276096506 |
Business Phone Number: | 9197825273 |
Business Fax Number: | 9197818853 |
Mailing Address: | 3801 Computer Dr, Suite 200 RALEIGH |
State: | NC |
Postal Code: | 276096506 |
Phone Number: | 9197825273 |
Fax Number: | 9197818853 |
NPI Enumeration Date: | 11/02/2005 |
NPI Last Update Date: | 08/19/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | 300343 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |