Provider Demographics
NPI:1467543801
Name:BARABACH, LYNN MARIE (MSN, RN)
Entity Type:Individual
Prefix:
First Name:LYNN
Middle Name:MARIE
Last Name:BARABACH
Suffix:
Gender:F
Credentials:MSN, RN
Other - Prefix:
Other - First Name:LYNN
Other - Middle Name:MARIE
Other - Last Name:MUDRA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSN, RN
Mailing Address - Street 1:5742 PINNACLE PARK DR
Mailing Address - Street 2:
Mailing Address - City:SEVEN HILLS
Mailing Address - State:OH
Mailing Address - Zip Code:44131-1758
Mailing Address - Country:US
Mailing Address - Phone:216-513-9450
Mailing Address - Fax:
Practice Address - Street 1:11100 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44106-1716
Practice Address - Country:US
Practice Address - Phone:216-844-1035
Practice Address - Fax:216-844-5641
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.203233-COA1163WX0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WX0003XNursing Service ProvidersRegistered NurseObstetric, Inpatient