Basic Information
| Provider Information | |||||||||
| NPI: | 1275692311 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MORRISON | ||||||||
| FirstName: | LYNN | ||||||||
| MiddleName: | DALE | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | RN OBGYN NURSE PRACT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1226 CONSTANT AVE | ||||||||
| Address2: | |||||||||
| City: | PEEKSKILL | ||||||||
| State: | NY | ||||||||
| PostalCode: | 10566 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9147365685 | ||||||||
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| Practice Location | |||||||||
| Address1: | 107 W 4TH STREET | ||||||||
| Address2: | MT VERNON NEIGHBORHOOD HEALTH CENTER | ||||||||
| City: | MOUNT VERNON | ||||||||
| State: | NY | ||||||||
| PostalCode: | 10550 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9146997200 | ||||||||
| FaxNumber: | 9146990209 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/06/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LX0001X | F000106 | NY | X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Obstetrics & Gynecology | 367A00000X | F000249 | NY | X | Physician Assistants & Advanced Practice Nursing Providers | Advanced Practice Midwife |
No ID Information.