Individual
MRS. LYNN B HANTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
202 E BAGLEY RD, BEREA, OH 44017-2058
(440) 260-8379
Mailing address
202 E BAGLEY RD, BEREA, OH 44017-2058
(440) 260-8379
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN166734
OH
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
RN166734
OH
Other
Enumeration date
10/17/2009
Last updated
10/17/2009
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