Individual
MARY LYNNE HAWLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5735 MEEKER RD, GREENVILLE, OH 45331-1180
(937) 548-9680
(937) 548-2087
Mailing address
5735 MEEKER RD, GREENVILLE, OH 45331-1180
(937) 548-9680
(937) 548-2087
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35069759D
OH
208000000X
Pediatrics Physician
35069759D
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2012253
—
OH
Enumeration date
05/17/2006
Last updated
07/21/2022
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