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NPI Code Detail

MEDICARE: LYNETTE ANN VANCE R.N.

MEDICARE: LYNETTE ANN VANCE R.N.
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
1163W00000XRegistered NurseRN-275778OH

General Provider Information

NPI Number : 1841665114
Entity Type Code : Individual
Provider Name (Legal Business Name) : LYNETTE ANN VANCE R.N.
Provider Business Mailing Address
First Line : 1320 WASHINGTO AVE.
Second Line :
City : CLEVELAND
State : OH
Zip : 44113-3110
Country : US
Telephone Number : 216-781-0550
Fax Number : 216-781-7501
Provider Business Practice Location Address
First Line : 1320 WASHINGTON AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44113-2333
Country : US
Telephone Number : 216-781-0550
Fax Number : 216-781-7501
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2015
Last Update Date : 02/11/2016

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Directions to “ LYNETTE ANN VANCE R.N.” Practice Location

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