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NPI Code Detail

MEDICARE: SEAN LYND MD

MEDICARE: SEAN LYND MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician35069216OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1518901511
Entity Type Code : Individual
Provider Name (Legal Business Name) : SEAN LYND MD
Provider Business Mailing Address
First Line : 796 OLD STATE ROUTE 74 STE 101
Second Line :
City : CINCINNATI
State : OH
Zip : 45245-1262
Country : US
Telephone Number : 513-752-5800
Fax Number : 513-752-7095
Provider Business Practice Location Address
First Line : 796 OLD STATE ROUTE 74 STE 101
Second Line :
City : CINCINNATI
State : OH
Zip : 45245-1262
Country : US
Telephone Number : 513-752-5800
Fax Number : 513-752-7095
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2006
Last Update Date : 10/27/2020

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Directions to “ SEAN LYND MD” Practice Location

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