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Individual

DIANNE K LITWIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
651 CENTRE VIEW BLVD, CRESTVIEW HILLS, KY 41017-5423
(859) 757-2927
(859) 341-0203
Mailing address
2300 CHAMBER CENTER DR, FT. MITCHELL, KY 41017-1673
(859) 757-2927
(859) 341-0203

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
35.064219
OH
207RP1001X
Pulmonary Disease Physician
Primary
32227
KY
207RP1001X
Pulmonary Disease Physician
35.064219
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000044590
ANTHEM
01
021036000
FEDERAL BLACK LUNG
01
0651601
AETNA
05
0904141
OH
01
1098077
PASSPORT
01
4800056
UNITED HEALTHCARE
05
64322274
KY
Enumeration date
08/22/2005
Last updated
04/24/2018
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