Basic Information
| Provider Information | |||||||||
| NPI: | 1356938229 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | TURNER | ||||||||
| FirstName: | HANNAH | ||||||||
| MiddleName: | LYNCH | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | CNIM, R. EPT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 700 US HIGHWAY 46 STE 420 | ||||||||
| Address2: | |||||||||
| City: | FAIRFIELD | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 070041532 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9738823456 | ||||||||
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| Practice Location | |||||||||
| Address1: | 5143 102ND ST N | ||||||||
| Address2: | |||||||||
| City: | SAINT PETERSBURG | ||||||||
| State: | FL | ||||||||
| PostalCode: | 337083452 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7276420280 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 12/28/2020 | ||||||||
| LastUpdateDate: | 12/28/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 12/28/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 156F00000X | FL | Y | Eye and Vision Services Providers | Technician/Technologist |
No ID Information.