Provider Demographics
NPI:1831062975
Name:WILKERSON, LYNN ANNE (AUD)
Entity type:Individual
Prefix:
First Name:LYNN
Middle Name:ANNE
Last Name:WILKERSON
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5303 50TH ST
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79414-1817
Mailing Address - Country:US
Mailing Address - Phone:806-702-8208
Mailing Address - Fax:806-785-4327
Practice Address - Street 1:2006 S GOLIAD ST STE 228
Practice Address - Street 2:
Practice Address - City:ROCKWALL
Practice Address - State:TX
Practice Address - Zip Code:75087-4800
Practice Address - Country:US
Practice Address - Phone:806-702-8208
Practice Address - Fax:806-785-4327
Is Sole Proprietor?:No
Enumeration Date:2025-09-25
Last Update Date:2025-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMSAH-2025-0100237600000X
TX80040237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter