| Doctor Name: | MR. LYNETTE M ROUSH |
| NPI Number: | 1013229566 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, RN, ACNS-BC |
| License Number: | NS-10477 CNS |
| Business Practice Address: | 3539 Pine Ridge Dr Lewis Center, OH - 430359360 |
| Business Phone Number: | 6145271375 |
| Business Fax Number: | |
| Mailing Address: | 3539 Pine Ridge Dr, LEWIS CENTER |
| State: | OH |
| Postal Code: | 430359360 |
| Phone Number: | 6145271375 |
| Fax Number: | |
| NPI Enumeration Date: | 07/12/2010 |
| NPI Last Update Date: | 07/12/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WM0705X |
| License Number: | NS-10477 CNS |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Medical-Surgical |
| Taxonomy Definition: | |