Alonso, Lynessa A
Alonso, Lynessa A is an individual health care provider with primary practice located at 10 Saint Clare Ct , Washington IL 61571-9239. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Alonso, Lynessa A can be contacted via phone (309) 886-4003.Contact Information
Primary practice address
10 Saint Clare Ct
Washington IL 61571-9239
Phone: (309) 886-4003
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 207RA0000X | 036-111658 | Illinois |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 036111658 | Illinois |
Profile Details
| NPI number | 1679665020 |
|---|---|
| LBN Legal business name | Alonso, Lynessa A |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 29th, 2006 |
| Last updated | Feb 24th, 2012 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679665020 | NPPES |
| Other | P00736603 | RAILROAD MEDICARE | |
| MEDICAID | 036111658 | RAILROAD MEDICARE | |
| Other | 000000597576 | RAILROAD MEDICARE | |
| MEDICAID | 7100079490 | RAILROAD MEDICARE | |
| Other | 000023044Z | RAILROAD MEDICARE | |
| Other | 101430 | RAILROAD MEDICARE |
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