Individual
LYNNE W SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
1750 W 4TH ST, ONTARIO, OH 44906-1770
(419) 526-8111
(419) 526-8114
Mailing address
335 GLESSNER AVE, MANSFIELD, OH 44903-2269
(419) 520-2495
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
06842
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2305759
—
OH
Enumeration date
11/30/2005
Last updated
08/25/2016
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