Basic Information
Provider Information
NPI: 1396087730
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DEVONSHIRE
FirstName: ASHLEY
MiddleName: LYNN
NamePrefix: DR.
NameSuffix:  
Credential: M.D., M.P.H.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
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OtherNamePrefix:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3333 BURNET AVE.
Address2: MLC 2000
City: CINCINNATI
State: OH
PostalCode: 452293026
CountryCode: US
TelephoneNumber: 5136366771
FaxNumber: 5136365835
Practice Location
Address1: 3333 BURNET AVE.
Address2: MLC 2000
City: CINCINNATI
State: OH
PostalCode: 45229
CountryCode: US
TelephoneNumber: 5136366771
FaxNumber: 5136365835
Other Information
ProviderEnumerationDate: 03/25/2013
LastUpdateDate: 06/24/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207K00000X036.140265ILN Allopathic & Osteopathic PhysiciansAllergy & Immunology 
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
2080P0201X35.136493OHY Allopathic & Osteopathic PhysiciansPediatricsPediatric Allergy/Immunology

No ID Information.


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