Provider Demographics
NPI:1346871530
Name:HALE, LYNN
Entity type:Individual
Prefix:
First Name:LYNN
Middle Name:
Last Name:HALE
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 1:2534 HIGHLAND AVE UNIT 1
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45219-2649
Mailing Address - Country:US
Mailing Address - Phone:513-690-5111
Mailing Address - Fax:
Practice Address - Street 1:1746 CLEVELAND AVE # 2
Practice Address - Street 2:
Practice Address - City:NORWOOD
Practice Address - State:OH
Practice Address - Zip Code:45212-2824
Practice Address - Country:US
Practice Address - Phone:513-240-3531
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-28
Last Update Date:2022-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health