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NPI Code Detail

MEDICARE: LYNNE ZACHMAN CNP

MEDICARE:   LYNNE  ZACHMAN  CNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0200XPediatric Nurse PractitionerAPRN.CNP.023014OH

General Provider Information

NPI Number : 1023580339
Entity Type Code : Individual
Provider Name (Legal Business Name) : LYNNE ZACHMAN CNP
Provider Business Mailing Address
First Line : 745 HASKINS RD STE B
Second Line :
City : BOWLING GREEN
State : OH
Zip : 43402-1600
Country : US
Telephone Number : 419-437-3176
Fax Number : 419-353-7076
Provider Business Practice Location Address
First Line : 970 W WOOSTER ST RM 130
Second Line :
City : BOWLING GREEN
State : OH
Zip : 43402-2652
Country : US
Telephone Number : 419-352-6890
Fax Number : 419-353-2415
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/27/2018
Last Update Date : 12/27/2018

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