Provider Demographics
NPI:1588310981
Name:LYNUNA MEDICAL CLINIC LLC
Entity type:Organization
Organization Name:LYNUNA MEDICAL CLINIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADVANCED PRACTICE REGISTERED NURSE
Authorized Official - Prefix:
Authorized Official - First Name:LYNETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:BATTLES
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:850-688-8850
Mailing Address - Street 1:6289 JORDANS PASS DR
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32304-8367
Mailing Address - Country:US
Mailing Address - Phone:850-688-8850
Mailing Address - Fax:
Practice Address - Street 1:6289 JORDANS PASS DR
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32304-8367
Practice Address - Country:US
Practice Address - Phone:850-688-8850
Practice Address - Fax:850-765-3032
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-23
Last Update Date:2022-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty