Individual
LYNN BLAKESLEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
4235 SECOR RD, TOLEDO, OH 43623-4231
(419) 479-5690
Mailing address
4235 SECOR RD, TOLEDO, OH 43623-4231
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN215578 NP01206
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2173698
—
OH
Enumeration date
07/05/2005
Last updated
05/25/2011
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