Sue Herzog, LPN
Licensed Practical Nurse in Springfield, OH. Individual provider (NPI-1).
NPI number1669903142
StatusActive
Last updated in NPPESApr 18, 2019
Details
- NPI
- 1669903142
- Entity type
- Individual (NPI-1)
- Name
- Sue Herzog
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 25, 2017
- Last updated
- Apr 18, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | LPN.020607.MEDS | OH | Yes |
Practice location
2624 Lexington AveSpringfield, OH 45505-2620
Phone 937-328-5300 · Fax 937-322-4900
Mailing address
2624 Lexington AveSpringfield, OH 45505-2620
Phone 937-328-5300 · Fax 937-322-4900
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