Provider Demographics
NPI:1174609473
Name:KUCHINSKI, LYNN MARIE (MBA, DOM, LAC)
Entity type:Individual
Prefix:
First Name:LYNN
Middle Name:MARIE
Last Name:KUCHINSKI
Suffix:
Gender:F
Credentials:MBA, DOM, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2902 CASA DEL NORTE DR NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87112-2116
Mailing Address - Country:US
Mailing Address - Phone:505-610-8999
Mailing Address - Fax:
Practice Address - Street 1:2902 CASA DEL NORTE DR NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87112-2116
Practice Address - Country:US
Practice Address - Phone:505-610-8999
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM358171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist