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NPI Code Detail

MEDICARE: LYNN E IHRIG LISW-S, LCSW

MEDICARE: LYNN E IHRIG LISW-S, LCSW
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
11041C0700XClinical Social Worker1656KY
21041C0700XClinical Social WorkerI9292OH

General Provider Information

NPI Number : 1538306980
Entity Type Code : Individual
Provider Name (Legal Business Name) : LYNN E IHRIG LISW-S, LCSW
Provider Business Mailing Address
First Line : 401 E MCMILLAN ST
Second Line :
City : CINCINNATI
State : OH
Zip : 45206-1922
Country : US
Telephone Number : 513-221-3350
Fax Number : 513-619-4841
Provider Business Practice Location Address
First Line : 401 E MCMILLAN ST
Second Line :
City : CINCINNATI
State : OH
Zip : 45206-1922
Country : US
Telephone Number : 513-221-3350
Fax Number : 513-619-4841
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/07/2009
Last Update Date : 12/28/2015

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