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Peggy Lynne Shane, LPN

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

NPI number1568898583
StatusActive
Last updated in NPPESSep 23, 2013

Details

NPI
1568898583
Entity type
Individual (NPI-1)
Name
Mrs. Peggy Lynne Shane
Credential
LPN
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 23, 2013
Last updated
Sep 23, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164W00000X Licensed Practical NursePN146621OHYes

Practice location

10285 Dowling Rd
Perrysburg, OH 43551-9627

Phone 419-308-9736

Mailing address

10285 Dowling Rd
Perrysburg, OH 43551-9627

Phone 419-308-9736

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