Provider Demographics
NPI:1144473091
Name:WALTERS, LYNN ARINES (DAOM, AP)
Entity type:Individual
Prefix:DR
First Name:LYNN
Middle Name:ARINES
Last Name:WALTERS
Suffix:
Gender:F
Credentials:DAOM, AP
Other - Prefix:DR
Other - First Name:HONU LYNN
Other - Middle Name:ARINES
Other - Last Name:WALTERS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DAOM, AP
Mailing Address - Street 1:2760 DANIEL ST STE A
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33761-3306
Mailing Address - Country:US
Mailing Address - Phone:727-999-1221
Mailing Address - Fax:
Practice Address - Street 1:2760 DANIEL ST STE A
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33761-3306
Practice Address - Country:US
Practice Address - Phone:727-999-1221
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-23
Last Update Date:2019-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3698171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist