Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0221X | Pediatric Dentist | OH |
NPI | 1033231949 |
---|---|
Provider Name | Dr. Lyn Maxwell Allee |
First Address | Westlake, OH 44145-2542 |
Second Address | Westlake, OH 44145-2542 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2007 |
Last Update Date | 08/07/2007 |