Individual
SIMONE PHANG-LYN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3333 BURNET AVE, CINCINNATI, OH 45229-3026
(513) 636-4200
Mailing address
3333 BURNET AVE, CINCINNATI, OH 45229-3026
(513) 636-4200
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
34.017998
OH
207LP3000X
Pediatric Anesthesiology Physician
34.017998
OH
390200000X
Student in an Organized Health Care Education/Training Program
34.017998
OH
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/03/2020
Last updated
03/13/2026
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