Individual
TRINETTA DAWN MASTERNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
964 N MARKET ST, LISBON, OH 44432-9363
(330) 424-1468
Mailing address
PO BOX 464, LISBON, OH 44432-0464
(330) 424-1468
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
34.007852
OH
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
34.007852
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001521548
HIGHMARK BC/BS
OH
05
—
1018805400001
—
PA
05
—
2429287
—
OH
01
—
377258
ANTHEM
OH
Enumeration date
02/28/2006
Last updated
11/12/2025
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