Healthcare Provider Details

I. General information

NPI: 1679276240
Provider Name (Legal Business Name): LYNZIE ANN GUZZIE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2023
Last Update Date: 03/25/2023
Certification Date: 03/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

274 SUTTON RD
CINCINNATI OH
45230-3521
US

IV. Provider business mailing address

5400 EDALBERT DR
CINCINNATI OH
45239-7695
US

V. Phone/Fax

Practice location:
  • Phone: 513-741-3100
  • Fax: 513-741-5686
Mailing address:
  • Phone: 513-741-3100
  • Fax: 513-741-5686

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: