Healthcare Provider Details

I. General information

NPI: 1851238570
Provider Name (Legal Business Name): MRS. EVA MARIE PAYNE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 LAKE RD NE
LANCASTER OH
43130-9377
US

IV. Provider business mailing address

225 LAKE RD NE
LANCASTER OH
43130-9377
US

V. Phone/Fax

Practice location:
  • Phone: 614-388-7470
  • Fax: 614-257-5895
Mailing address:
  • Phone: 614-388-7470
  • Fax: 614-257-5895

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WX0800X
TaxonomyOrthopedic Registered Nurse
License NumberRN243684
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: