Individual
COLBY LYNN BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
446 MORGAN ST, CINCINNATI, OH 45206-2348
(833) 510-4357
Mailing address
4600 MONTGOMERY RD STE 400, CINCINNATI, OH 45212-2600
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
216051
OK
Other
Enumeration date
07/10/2024
Last updated
07/10/2024
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