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Mary M Lamantia, LPN

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

NPI number1609040385
StatusActive
Last updated in NPPESApr 14, 2008

Details

NPI
1609040385
Entity type
Individual (NPI-1)
Name
Mary M Lamantia
Credential
LPN
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 14, 2008
Last updated
Apr 14, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164W00000X Licensed Practical NursePN085306OHYes

Practice location

435 E Wilson St
Bryan, OH 43506-1737

Phone 419-636-8176

Mailing address

435 E Wilson St
Bryan, OH 43506-1737

Phone 419-636-8176

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