Individual
DR. CYNTHIA LORRAINE PICKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3033 KETTERING BLVD, SUITE 100, MORAINE, OH 45439-1962
(937) 293-2133
(937) 293-2161
Mailing address
3033 KETTERING BLVD, SUITE 100, MORAINE, OH 45439-1962
(937) 293-2133
(937) 293-2161
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35064390
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0930069
—
OH
Enumeration date
10/03/2005
Last updated
08/24/2011
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