Healthcare Provider Details

I. General information

NPI: 1629646120
Provider Name (Legal Business Name): LYNETTE L GARCIA RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/12/2021
Last Update Date: 06/12/2021
Certification Date: 06/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7320 SMITHS MILL RD
NEW ALBANY OH
43054-7685
US

IV. Provider business mailing address

7320 SMITHS MILL RD
NEW ALBANY OH
43054-7685
US

V. Phone/Fax

Practice location:
  • Phone: 614-245-1060
  • Fax: 614-245-1065
Mailing address:
  • Phone: 614-245-1060
  • Fax: 614-245-1065

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SL0600X
TaxonomyLong-Term Care Clinical Nurse Specialist
License NumberRN398463
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: