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Individual

DR. LYNN M MIKOLICH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1044 BELMONT AVE, YOUNGSTOWN, OH 44504-1006
(330) 480-3097
(330) 480-3416
Mailing address
1044 BELMONT AVE, YOUNGSTOWN, OH 44504-1006
(330) 480-3097
(330) 480-3416

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
35-03-7601
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000115422
ANTHEM
OH
05
0435961
OH
Enumeration date
01/06/2006
Last updated
07/30/2010
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