Individual
LYNN MARIE DYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
314 POPLAR AVE NW, CANTON, OH 44708-5535
(330) 323-2890
Mailing address
314 POPLAR AVE NW, CANTON, OH 44708-5535
(330) 323-2890
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2803756
—
OH
Enumeration date
12/09/2020
Last updated
12/09/2020
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