Individual
DR. LYNNE WERTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2981 W 4TH ST, ONTARIO, OH 44906-1267
(419) 462-4561
Mailing address
700 N COLUMBUS ST, CRESTLINE, OH 44827-1455
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35.139469
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0403163
—
OH
Enumeration date
06/13/2014
Last updated
01/08/2021
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