MEDICARE: LYNNE PINKERTON

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
1	2083X0100X	Occupational Medicine Physician	35.066484	OH

General Provider Information

NPI Number	:	1578062659
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LYNNE PINKERTON

Provider Business Mailing Address
First Line	:	1090 TUSCULUM AVE # R-15
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45226-1938
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5555 RIDGE AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45213-2515
Country	:	US
Telephone Number	:	513-841-4203
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/05/2018
Last Update Date	:	02/05/2018

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Directions to “ LYNNE PINKERTON ” Practice Location

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