Individual
LYNN VENISE HOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1012 6TH ST NE, CANTON, OH 44704-1530
(234) 499-3916
Mailing address
1012 6TH ST NE, CANTON, OH 44704-1530
(234) 499-3916
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
RR356029
OH
Other
Enumeration date
10/16/2025
Last updated
11/04/2025
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