Provider Demographics
NPI:1174957187
Name:LAUTNER, LILYNNE ANN (FNP-C)
Entity type:Individual
Prefix:
First Name:LILYNNE
Middle Name:ANN
Last Name:LAUTNER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:995 SENATOR KEATING BLVD.
Mailing Address - Street 2:BLDG. E., SUITE 210
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14618-2779
Mailing Address - Country:US
Mailing Address - Phone:585-368-4455
Mailing Address - Fax:585-271-3688
Practice Address - Street 1:995 SENATOR KEATING BLVD.
Practice Address - Street 2:BLDG. E., SUITE 210
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14618-2779
Practice Address - Country:US
Practice Address - Phone:585-368-4455
Practice Address - Fax:585-271-3688
Is Sole Proprietor?:No
Enumeration Date:2013-08-27
Last Update Date:2019-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY344052363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily