Lynette Wilden is a Specialist based in Ashtabula, OH. Lynette Wilden practices in Ashtabula, OH. The NPI Number for Lynette Wilden is 1649694944 and holds a License No. 07172 (Ohio).
The current practice location address for Lynette Wilden is 4200 State Rd, Ashtabula, OH and can be reached out via phone at 440-576-9023.
Location: 4200 State Rd, Ashtabula, OH, 44004-6017
Provider Profile Details
NPI Number
1649694944
Provider Name
Lynette Wilden
Credential
Provider Entity Type
Individual
Gender
Female
Address
4200 State Rd, Ashtabula, OH, 44004-6017
Phone Number
440-576-9023
Fax Number
Provider Enumeration Date
02/07/2014
Last Update Date
03/09/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07172 | 01 | OH | LICENSE NUMBER |
Provider Business Practice Location Address Details
Address
4200 State Rd
City
State
Zip
44004-6017
Phone Number
440-576-9023
Fax Number
Provider Business Mailing Address Details
Address
4200 State Rd
City
State
Zip
44004-6017
Phone Number
440-576-9023
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
07172 (Ohio)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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