Individual
HEATHER LYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
440 CHAUNCEY AVE NW, NEW PHILADELPHIA, OH 44663-1233
(330) 407-1445
Mailing address
440 CHAUNCEY AVE NW, NEW PHILADELPHIA, OH 44663-1233
(330) 407-1445
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
161458-M-IV
OH
Other
Enumeration date
04/29/2016
Last updated
04/29/2016
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