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Amy Lynn Koutsopoulos

Licensed Practical Nurse in Lorain, OH. Individual provider (NPI-1).

NPI number1457571986
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1457571986
Entity type
Individual (NPI-1)
Name
Amy Lynn Koutsopoulos
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 26, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164W00000X Licensed Practical Nurse121015OHYes

Practice location

361 E 45th St
Lorain, OH 44052-5505

Phone 440-233-8180

Mailing address

219 Park Meadow Ln Apt I
Elyria, OH 44035-7354

Phone 440-506-5255

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