Provider Demographics
NPI:1497095277
Name:HOLBROOK, ABIGAIL LYNNE (DO)
Entity Type:Individual
Prefix:DR
First Name:ABIGAIL
Middle Name:LYNNE
Last Name:HOLBROOK
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8000 5 MILE RD STE 250
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45230-2189
Mailing Address - Country:US
Mailing Address - Phone:513-559-7175
Mailing Address - Fax:513-559-7194
Practice Address - Street 1:8000 5 MILE RD STE 250
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45230
Practice Address - Country:US
Practice Address - Phone:513-559-7175
Practice Address - Fax:513-559-7194
Is Sole Proprietor?:No
Enumeration Date:2013-02-15
Last Update Date:2018-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
OH34.013420207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program