Whalio Doctors

NPI 1114067733

Lynette Cynthia Buckner, RN

Practitioner Registered Nurse Saint Clair Shores, MI

Practice location

Address
25401 Harper Ave, Saint Clair Shores, MI 48081-2240
Phone
(586) 466-6912
Mailing address
54621 Mahogany Dr, Macomb, MI 48042-2215

Registered specialties

Registered Nurse Primary
Nursing Service Providers Taxonomy 163W00000X Licence 4704122172 (MI)

Registry record

NPI
1114067733
Entity type
Individual
Sex (as registered)
Female
NPI issued
7 Feb 2007
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.