Individual
MR. LYNETTE M ROUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RN, ACNS-BC
Contact information
Practice address
3539 PINE RIDGE DR, LEWIS CENTER, OH 43035-9360
(614) 527-1375
Mailing address
3539 PINE RIDGE DR, LEWIS CENTER, OH 43035-9360
(614) 527-1375
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
NS-10477 CNS
OH
163WM0705X
Medical-Surgical Registered Nurse
Primary
RN-278780
OH
Other
Enumeration date
07/12/2010
Last updated
07/12/2010
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