Dianne N Bragdon LPN

NPI 1154552271 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1154552271
Gender Female
Enumeration Date 08/06/2009
Last Updated 08/06/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
115 BORDERS ROAD
LUCASVILLE OH, 45648, US
Phone (740) 355-9291
Fax
Business Location
115 BORDERS ROAD
LUCASVILLE OH, 45648, US
Phone (740) 355-9291
Fax
Toxanomy
Taxonomy Code 164W00000X
License State Ohio
License Number PN111378
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According to our database, Dianne N Bragdon LPN NPI is 1154552271, taxonomy code is 164W00000X and license number is PN111378, license state is located at Ohio. Dianne N Bragdon LPN physically located at 115 Borders Road, Lucasville OH, 45648. NPI Number Dianne N Bragdon LPN has the Individual type.

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1154552271 NPI number is provided on an as is basis without warranty of any kind. 1154552271 is maintained by the National Plan & Provider Enumeration System. The contents of Dianne N Bragdon LPN are for informational purposes only.