Provider Demographics
NPI:1649404419
Name:ZEITS, LYNN E (MD)
Entity Type:Individual
Prefix:
First Name:LYNN
Middle Name:E
Last Name:ZEITS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2142 N COVE BLVD
Mailing Address - Street 2:3RD FLOOR TOLEDO CHILDREN'S HOSPITAL
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43606-3895
Mailing Address - Country:US
Mailing Address - Phone:419-291-4225
Mailing Address - Fax:419-479-6193
Practice Address - Street 1:2142 N COVE BLVD
Practice Address - Street 2:3RD FLOOR TOLEDO CHILDREN'S HOSPITAL
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43606-3895
Practice Address - Country:US
Practice Address - Phone:419-291-4225
Practice Address - Fax:419-479-6193
Is Sole Proprietor?:No
Enumeration Date:2009-05-08
Last Update Date:2015-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD445756208000000X
PAMT201531390200000X
OH1269962080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH10256OtherPARAMOUNT
OH0139680Medicaid
MI1649404419Medicaid