MEDICARE: LATERRA LYNNEE WISDOM

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	374U00000X	Home Health Aide		OH

General Provider Information

NPI Number	:	1891188041
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LATERRA LYNNEE WISDOM

Provider Business Mailing Address
First Line	:	5214 HOLLAND DR.
Second Line	:	1591
City	:	CINCINNATI
State	:	OH
Zip	:	45232
Country	:	US
Telephone Number	:	513-969-7056
Fax Number	:

Provider Business Practice Location Address
First Line	:	5214 HOLLAND DR.
Second Line	:	1591
City	:	CINCINNATI
State	:	OH
Zip	:	45232
Country	:	US
Telephone Number	:	513-969-7056
Fax Number	:

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

Provider Enumeration Date	:	03/12/2015
Last Update Date	:	03/12/2015

Similar Medicare Providers

1902866015 — THOMAS J HOLUBECK MD
Practice Location Address:

5275 WINNESTE AVE
CINCINNATI, OH
45232-1130

Practice Phone: 513-242-1033
Practice Fax: 513-242-1539

1336109446 — YVETTE CASEY-HUNTER MD
Practice Location Address:

5275 WINNESTE AVE
CINCINNATI, OH
45232-1130

Practice Phone: 513-242-1033
Practice Fax: 513-242-1539

1437119617 — WINTON HILLS MEDICAL & HEALTH CENTER
Practice Location Address:

5275 WINNESTE AVE
CINCINNATI, OH
45232-1130

Practice Phone: 513-242-1033
Practice Fax: 513-242-1539

1457311078 — LISA L GREEN MD
Practice Location Address:

5275 WINNESTE AVE
CINCINNATI, OH
45232-1130

Practice Phone: 513-242-1033
Practice Fax: 513-242-1539

1184658882 — KROGER LIMITED PARTNERSHIP I
Practice Location Address:

4777 KENARD AVE
CINCINNATI, OH
45232-1992

Practice Phone: 513-681-7916
Practice Fax: 513-559-3055

1932213329 — MR. DOUGLAS F THEURING
Practice Location Address:

5275 WINNESTE AVE , SUITE A
CINCINNATI, OH
45232-1130

Practice Phone: 513-242-5700
Practice Fax: 513-482-5461

1942385661 — ELMWOOD PLACE PHARMACY INC.
Practice Location Address:

5275 WINNESTE AVE , SUITE A
CINCINNATI, OH
45232-1130

Practice Phone: 513-242-5700
Practice Fax: 513-482-5461

Directions to “ LATERRA LYNNEE WISDOM ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.