Doctor Name: | LYNN BROOKES |
NPI Number: | 1881700599 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | NP3832 |
Business Practice Address: | 6300 E. Hwy 20 Lucerne, CA - 95458 |
Business Phone Number: | 7072749299 |
Business Fax Number: | |
Mailing Address: | 6300 E. Hwy 20, LUCERNE |
State: | CA |
Postal Code: | 95458 |
Phone Number: | 7072749299 |
Fax Number: | |
NPI Enumeration Date: | 08/23/2006 |
NPI Last Update Date: | 11/04/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | NP3832 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |