Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 34-007828 | OH |
Y | 207PE0004X | Emergency Medical Services | 014708 | MI |
NPI | 1174565329 |
---|---|
Provider Name | Dr. Valerie Lint |
First Address | Maumee, OH 43537-1841 |
Second Address | Maumee, OH 43537-1841 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2006 |
Last Update Date | 07/07/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1174565329 | ANTHEM BCBS (01) | OH |
2367184 | (05) | OH |