Healthcare Provider Details

I. General information

NPI: 1588575641
Provider Name (Legal Business Name): LYNN ELLEN REAUME RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2222 BAKEWELL ST
TOLEDO OH
43605-1208
US

IV. Provider business mailing address

6050 PINEDALE DR
TOLEDO OH
43613-5626
US

V. Phone/Fax

Practice location:
  • Phone: 419-671-7700
  • Fax: 419-671-7745
Mailing address:
  • Phone: 419-266-1471
  • Fax: 419-671-7745

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number375436
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: