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Individual

LYNZEE VANDECAVEYE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
2213 CHERRY ST, TOLEDO, OH 43608-2603
(419) 251-3232
Mailing address
12782 KELLY K DR, IDA, MI 48140-9713
(173) 473-5938

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
427062
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
019787
OH

Other

Enumeration date
09/21/2018
Last updated
01/31/2019
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