Provider Demographics
NPI:1740975879
Name:BARNES, MEGAN LEE
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:LEE
Last Name:BARNES
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 1:247 HILLSIDE DR
Mailing Address - Street 2:
Mailing Address - City:WADSWORTH
Mailing Address - State:OH
Mailing Address - Zip Code:44281-1399
Mailing Address - Country:US
Mailing Address - Phone:330-212-5114
Mailing Address - Fax:
Practice Address - Street 1:247 HILLSIDE DR
Practice Address - Street 2:
Practice Address - City:WADSWORTH
Practice Address - State:OH
Practice Address - Zip Code:44281-1399
Practice Address - Country:US
Practice Address - Phone:330-212-5114
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-05
Last Update Date:2023-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist