Individual
CINDY LYCAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5022 MOSIMAN RD, MIDDLETOWN, OH 45042-1636
(513) 727-8580
Mailing address
5022 MOSIMAN RD, MIDDLETOWN, OH 45042-1636
(513) 727-8580
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102605587999
—
OH
Enumeration date
09/18/2020
Last updated
12/21/2020
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