Healthcare Provider Details

I. General information

NPI: 1245159177
Provider Name (Legal Business Name): LILY ANN RINGLE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LILY NEWCOMER

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6711 MONROE ST STE A
SYLVANIA OH
43560-1993
US

IV. Provider business mailing address

6711 MONROE ST STE A
SYLVANIA OH
43560-1993
US

V. Phone/Fax

Practice location:
  • Phone: 419-885-8080
  • Fax:
Mailing address:
  • Phone: 419-885-8080
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number475844
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: