Healthcare Provider Details

I. General information

NPI: 1306156773
Provider Name (Legal Business Name): LYNDSEY MARIE BLAIR LPN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LYNDSEY DICK RN

II. Dates (important events)

Enumeration Date: 10/19/2010
Last Update Date: 10/10/2026
Certification Date: 10/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10305 US HIGHWAY 68
KENTON OH
43326-9206
US

IV. Provider business mailing address

10305 US HIGHWAY 68
KENTON OH
43326-9206
US

V. Phone/Fax

Practice location:
  • Phone: 567-674-9722
  • Fax:
Mailing address:
  • Phone: 567-674-9722
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number423194
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: