Healthcare Provider Details

I. General information

NPI: 1871192831
Provider Name (Legal Business Name): YVONNE LOVE-BAUGHMAN LPN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/21/2020
Last Update Date: 10/21/2020
Certification Date: 10/21/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1172 W. GALBRAITH RD SUITE 110
CINTI OH
45231
US

IV. Provider business mailing address

7620 BITTEROOT LN
CINCINNATI OH
45224
US

V. Phone/Fax

Practice location:
  • Phone: 513-202-3729
  • Fax: 513-541-2198
Mailing address:
  • Phone: 513-394-0640
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246RP1900X
TaxonomyPhlebotomy Technician
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: