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NPI Code Detail

MEDICARE: DR. LYNN ANN OLSZEWSKI D.C.

MEDICARE: DR. LYNN ANN OLSZEWSKI D.C.
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
1111N00000XChiropractor1875OH

General Provider Information

NPI Number : 1568417095
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LYNN ANN OLSZEWSKI D.C.
Provider Business Mailing Address
First Line : 325 WINSTON AVE NE
Second Line :
City : NORTH CANTON
State : OH
Zip : 44720-2659
Country : US
Telephone Number : 330-936-6463
Fax Number :
Provider Business Practice Location Address
First Line : 276 FEDERAL AVE NW
Second Line :
City : MASSILLON
State : OH
Zip : 44647-5469
Country : US
Telephone Number : 330-833-2085
Fax Number : 330-833-2067
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2006
Last Update Date : 11/22/2011

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