Provider Demographics
NPI:1528296100
Name:LITTLEJOHN-CYR, LYNN ROXANN (CRNA)
Entity type:Individual
Prefix:MRS
First Name:LYNN
Middle Name:ROXANN
Last Name:LITTLEJOHN-CYR
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:903 PINELLAS BAYWAY S
Mailing Address - Street 2:#208
Mailing Address - City:TIERRA VERDE
Mailing Address - State:FL
Mailing Address - Zip Code:33715-2156
Mailing Address - Country:US
Mailing Address - Phone:727-867-2244
Mailing Address - Fax:
Practice Address - Street 1:1200 7TH ST N
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33701
Practice Address - Country:US
Practice Address - Phone:727-825-1486
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-23
Last Update Date:2009-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN 9216395367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered