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Individual

LYNN A BOLENBAUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
578 N LEAVITT RD, AMHERST, OH 44001-1131
(440) 989-3801
(440) 960-0264
Mailing address
PO BOX 636643, CINCINNATI, OH 45263-6643
(440) 989-3801
(440) 960-0264

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.001726RX
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3025372
OH
Enumeration date
04/12/2007
Last updated
09/23/2021
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