Individual
CASSANDRA RAE LIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1010 WOODMAN DR, DAYTON, OH 45432-1400
(375) 282-2889
Mailing address
2705 GINGHAMSBURG FREDERICK RD, TIPP CITY, OH 45371-8992
(937) 545-3690
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1011495
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
418375801
—
TX
Enumeration date
09/03/2020
Last updated
01/17/2023
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