Lynette Ann McMahon, R.N.
Individual provider Active NPI Registered Nurse · Menominee, MI
NPI 1356679708 · NPPES record last updated Nov 25, 2009
Key facts
- NPI
- 1356679708
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 90687-030 (WI)
- Practice address
- 1201 West Dr
Menominee, MI 49858-2327 - Phone
- (906) 863-8216
- NPI assigned
- Nov 23, 2009
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 90687-030 | WI | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 90687-030 | WI | Yes |
Addresses
Primary practice location
1201 West Dr
Menominee, MI 49858-2327
Mailing address
1201 West Dr
Menominee, MI 49858-2327
Phone (906) 863-8216
Other providers in Menominee, MI
- Katelyn Mackay
- Michelle Maman
- Ashley Manninen
- Keith Francis Mattson
- Erin McGhee
- Menominee Care Center, LLC
- Jordyn Rae Miller
- Mark Daniel Mogensen
- Chelsea Jean Monfils
- Jessica Leigh Mosur
All providers in Menominee, MI · Registered Nurse in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 25, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.