Healthcare Provider Details

I. General information

NPI: 1497095277
Provider Name (Legal Business Name): ABIGAIL LYNNE HOLBROOK D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/15/2013
Last Update Date: 01/08/2026
Certification Date: 01/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

796 OLD STATE ROUTE 74 STE 200
CINCINNATI OH
45245-1262
US

IV. Provider business mailing address

796 OLD STATE ROUTE 74 STE 200
CINCINNATI OH
45245-1262
US

V. Phone/Fax

Practice location:
  • Phone: 513-564-2700
  • Fax: 513-297-4469
Mailing address:
  • Phone: 513-564-2700
  • Fax: 513-297-4469

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number34.013420
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: