Lyndon Labrake
Technician, Attendant Care Provider in Independence, OH. Individual provider (NPI-1).
NPI number1659986172
StatusActive
Last updated in NPPESSep 11, 2020
Details
- NPI
- 1659986172
- Entity type
- Individual (NPI-1)
- Name
- Mr. Lyndon Labrake
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 11, 2020
- Certification date
- Sep 11, 2020
- Last updated
- Sep 11, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747A0650X | Technician, Attendant Care Provider | – | – | Yes |
Practice location
6728 Ivandale RdIndependence, OH 44131-5312
Phone 216-264-4064
Mailing address
6728 Ivandale RdIndependence, OH 44131-5312
Phone 216-264-4064
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