Lisa Shingledecker, L.P.N.
Licensed Practical Nurse in Brookfield, OH. Individual provider (NPI-1).
NPI number1346643129
StatusActive
Last updated in NPPESOct 7, 2014
Details
- NPI
- 1346643129
- Entity type
- Individual (NPI-1)
- Name
- Lisa Shingledecker
- Credential
- L.P.N.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 7, 2014
- Last updated
- Oct 7, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | PN102314 | OH | Yes |
Practice location
6697 Warren Sharon RdBrookfield, OH 44403-9702
Phone 330-540-8003
Mailing address
6697 Warren Sharon RdBrookfield, OH 44403-9702
Phone 330-540-8003
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