Provider Demographics
NPI:1518698810
Name:COX, LYNN
Entity Type:Individual
Prefix:
First Name:LYNN
Middle Name:
Last Name:COX
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 1:5244 BRIDLE CT
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-1642
Mailing Address - Country:US
Mailing Address - Phone:513-939-4946
Mailing Address - Fax:
Practice Address - Street 1:5244 BRIDLE CT
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-1642
Practice Address - Country:US
Practice Address - Phone:513-939-4946
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-19
Last Update Date:2022-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0480090343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)