Provider Demographics
NPI:1801147509
Name:OSBORNE, LYNETTE MINNE
Entity type:Individual
Prefix:MISS
First Name:LYNETTE
Middle Name:MINNE
Last Name:OSBORNE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:86 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:BILLERICA
Mailing Address - State:MA
Mailing Address - Zip Code:01821-2523
Mailing Address - Country:US
Mailing Address - Phone:781-608-6177
Mailing Address - Fax:
Practice Address - Street 1:15 UNION ST FL 2
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:MA
Practice Address - Zip Code:01840-1872
Practice Address - Country:US
Practice Address - Phone:978-688-4830
Practice Address - Fax:978-688-4901
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-21
Last Update Date:2015-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor