Individual
TRISTAN LYNXWILER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2865 W BROAD ST, COLUMBUS, OH 43204-2643
(614) 729-9517
Mailing address
314 E COURT ST, URBANA, OH 43078-1807
(937) 869-2416
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C.2204375-TRNE
OH
Other
Enumeration date
11/02/2022
Last updated
11/02/2022
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