Provider Demographics
NPI:1902067754
Name:STONE, LYNNE ROSE (RN LCCE FACCE IBCLC)
Entity Type:Individual
Prefix:MRS
First Name:LYNNE
Middle Name:ROSE
Last Name:STONE
Suffix:
Gender:F
Credentials:RN LCCE FACCE IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:227 WOODWARD AVENUE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10314-4236
Mailing Address - Country:US
Mailing Address - Phone:718-761-8403
Mailing Address - Fax:718-761-2128
Practice Address - Street 1:227 WOODWARD AVENUE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10314-4236
Practice Address - Country:US
Practice Address - Phone:718-761-8403
Practice Address - Fax:718-761-2128
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-24
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY172226163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse