LEIVAUGHN LYN NPI 1659974624

NPI Information

  • NPI: 1659974624
  • Provider Name: LEIVAUGHN LYN
  • Classification: Pharmacist - 1835P0018X
  • Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Entity Type: Individual
  • Address: 9197 S FEDERAL HWY
    PORT ST LUCIE, FL
    ZIP 34952
  • Phone: (772) 335-4668

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NPI Details

Leivaughn Lyn is a pharmacist clinician (phc)/ clinical pharmacy specialist pharmacist in Port St Lucie, FL. The provider is pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. Leivaughn Lyn NPI is 1659974624. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9197 S FEDERAL HWY
PORT ST LUCIE, FL
ZIP 34952-405
Phone: (772) 335-4668

The enumeration date for this NPI number is 11/20/2020 and was last updated on 11/20/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11835P0018XPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist61754FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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