Amanda Jonette Lare, LPN
Licensed Practical Nurse in Atwater, OH. Individual provider (NPI-1).
NPI number1417694530
StatusActive
Last updated in NPPESMay 19, 2022
Details
- NPI
- 1417694530
- Entity type
- Individual (NPI-1)
- Name
- Ms. Amanda Jonette Lare
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 19, 2022
- Certification date
- May 19, 2022
- Last updated
- May 19, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 172225 | OH | Yes |
Practice location
13969 German Church RdAtwater, OH 44201-9016
Phone 330-206-7249
Mailing address
206 W Vine StAlliance, OH 44601-1339
Phone 330-206-7249
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