NPI Code Details Logo

NPI 1013829894

NPI 1013829894 : LYNZI FEASTER : ASHLAND, OH

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1013829894
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    LYNZI FEASTER
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    09/17/2026
-----------------------------------------------------
    Last Update Date     |    09/17/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    401 COLLEGE AVE 
-----------------------------------------------------
    City                 |    ASHLAND
-----------------------------------------------------
    State                |    OH
-----------------------------------------------------
    Zip                  |    44805-3799
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    419-521-6854
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    7568 DORSEY MILL RD SE 
-----------------------------------------------------
    City                 |    HEATH
-----------------------------------------------------
    State                |    OH
-----------------------------------------------------
    Zip                  |    43056-9276
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    740-616-2244
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    363A00000X
-----------------------------------------------------
    Taxonomy Name        |    Physician Assistant
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    OH
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.