Individual
MALISSA M. LYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN.CRNA
Contact information
Practice address
1350 E MARKET ST, WARREN, OH 44483-6608
(330) 647-0127
Mailing address
1350 E MARKET ST, WARREN, OH 44483-6608
(330) 647-0127
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
019939
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN.CRNA.019939
OH
367500000X
Certified Registered Nurse Anesthetist
APRN11010463
FL
Other
Enumeration date
04/13/2019
Last updated
09/10/2024
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