Provider Demographics
NPI:1053463216
Name:DEAN, LYNNE FRANCES
Entity Type:Individual
Prefix:MS
First Name:LYNNE
Middle Name:FRANCES
Last Name:DEAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 MILL ST
Mailing Address - Street 2:APT. 1
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45013-4485
Mailing Address - Country:US
Mailing Address - Phone:513-254-5381
Mailing Address - Fax:
Practice Address - Street 1:900 MILL ST
Practice Address - Street 2:APT. 1
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45013-4485
Practice Address - Country:US
Practice Address - Phone:513-254-5381
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2135380OtherINDEPENDENT PROVIDER #