LYNETTE LILES-KENNELLY LBP NPI 1780782086

NPI Information

NPI: 1780782086
Provider Name: LYNETTE LILES-KENNELLY, LBP
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
1719 SW 11TH ST
LAWTON, OK
ZIP 73501
Phone: (580) 581-1818
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Lynette Liles-kennelly, LBP is a mental health counselor in Lawton, OK. Lynette Liles-kennelly, LBP NPI is 1780782086. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1719 SW 11TH ST
LAWTON, OK
ZIP 73501-305
Phone: (580) 581-1818
Fax: (580) 581-1819

The enumeration date for this NPI number is 9/20/2006 and was last updated on 7/8/2007.

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
1	101YM0800X	Counselor	Mental Health	0207	OKLAHOMA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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