Individual provider · NPI-1

Robert Owan Abang Jr., lpn

Licensed Practical Nurse · Cleveland, OH

NPI number1740303833
StatusActive
Last updated in NPPESMar 31, 2016

Details

NPI
1740303833
Entity type
Individual (NPI-1)
Name
Mr. Robert Owan Abang Jr.
Credential
lpn
Sex
Male
Sole proprietor
No
Enumeration date
Apr 6, 2007
Last updated
Mar 31, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164W00000X Licensed Practical Nurse120761OHYes

Practice location

4659 W 150th St
Cleveland, OH 44135-3461

Phone 216-205-4151

Mailing address

4659 W 150th St
Cleveland, OH 44135-3461

Phone 216-205-4151

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Licensed Practical Nurse providers in Cleveland, OH