Lynette Wilden

NPI #1649694944 in Ashtabula, Ohio

Provider Information

NPI Number: 1649694944
Entity Type: Individual
Name: Lynette Wilden
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Feb 7, 2014
Last Updated: Feb 7, 2014

Practice Location

Address: 4200 STATE RD
City: Ashtabula
State: Ohio
ZIP Code: 44004-6017
Phone: (440) 576-9023

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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