| Provider / Organization | NPI | Date Certified |
|---|---|---|
| LINDSEY MARIE POE | 1598369431 | 2020-11-22 |
| Entity Type | Individual |
| Provider Name | Lindsey Marie Poe |
| Practice Office Address | 9525 KENWOOD RD STE 1 BLUE ASH, OH US |
| Practice Office Telephone | 5137917373 |
| Practice Office Fax | 5137910354 |
| Mailing Address | 9525 KENWOOD RD STE 1 BLUE ASH, OH 452426177 US |
| Business Telephone | 5137917373 |
| Business Fax | 5137910354 |
| Code | License No | State |
|---|---|---|
| 183500000X PRIMARY | 03233798 | OH |