Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VX0201X | Gynecologic Oncologist | 35060149 | OH |
NPI | 1093758179 |
---|---|
Provider Name | Lynne A Eaton |
First Address | Springfield, OH 45504-2687 |
Second Address | Springfield, OH 45504-2687 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2006 |
Last Update Date | 16/04/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0824086 | (05) | OH |
F28326 | (02) |