Individual
LYNN E MELLENCAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CN.10784-NP
Contact information
Practice address
9403 KENWOOD RD, SUITE B-100, CINCINNATI, OH 45242-6895
(513) 891-8045
(513) 891-8110
Mailing address
6056 TENNYSON DR, WEST CHESTER, OH 45069-6428
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
COA.10784-NP
OH
Other
Enumeration date
07/16/2009
Last updated
03/07/2017
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