Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 35. 042060 | OH |
NPI | 1548691157 |
---|---|
Provider Name | Thomas C Lin |
First Address | Lima, OH 45805-4128 |
Second Address | Lima, OH 45805-4128 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/12/2013 |
Last Update Date | 06/12/2013 |