Basic Information
| Provider Information | |||||||||
| NPI: | 1881836708 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MCCONNELL | ||||||||
| FirstName: | LYNDA | ||||||||
| MiddleName: | W | ||||||||
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| Credential: | RN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4615 GOVERNMENT ST | ||||||||
| Address2: | BUILDING 2 | ||||||||
| City: | BATON ROUGE | ||||||||
| State: | LA | ||||||||
| PostalCode: | 708065820 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2259251906 | ||||||||
| FaxNumber: | 2259222707 | ||||||||
| Practice Location | |||||||||
| Address1: | 4615 GOVERNMENT ST | ||||||||
| Address2: | BUILDING 2 | ||||||||
| City: | BATON ROUGE | ||||||||
| State: | LA | ||||||||
| PostalCode: | 708065820 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2259251906 | ||||||||
| FaxNumber: | 2259222707 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/25/2009 | ||||||||
| LastUpdateDate: | 03/25/2009 | ||||||||
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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 | 163W00000X | RN027422 | LA | Y | Nursing Service Providers | Registered Nurse |
No ID Information.