Castronovo, Lynette M

Castronovo, Lynette M is an individual health care provider with primary practice located at 3401 N Perryville Rd , Rockford IL 61114-8011. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Castronovo, Lynette M can be contacted via phone (815) 971-2000.

Contact Information

Primary practice address
3401 N Perryville Rd Rockford IL 61114-8011
Phone: (815) 971-2000
Fax: (815) 971-9447
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4704200188 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209006392 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 209006392 Illinois

Profile Details

NPI number 1821055484
LBN Legal business name Castronovo, Lynette M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated Apr 6th, 2016 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821055484 NPPES
Michigan MEDICAID 4368173

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