Leeanne Devivo LPN

NPI 1164643748 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1164643748
Gender Female
Enumeration Date 05/01/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
252 SOUTH ALLISON AVENUE
XENIA OH, 45385, US
Phone (937) 374-1889
Fax
Business Location
1575 DODDINGTON ROAD
KETTERING OH, 45409, US
Phone
Fax
Toxanomy
Taxonomy Code 164W00000X
License State Ohio
License Number PN121561
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According to our database, Mrs. Leeanne Devivo LPN NPI is 1164643748, taxonomy code is 164W00000X and license number is PN121561, license state is located at Ohio. Leeanne Devivo LPN physically located at 252 South Allison Avenue, Xenia OH, 45385. NPI Number Leeanne Devivo LPN has the Individual type.

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1164643748 NPI number is provided on an as is basis without warranty of any kind. 1164643748 is maintained by the National Plan & Provider Enumeration System. The contents of Leeanne Devivo LPN are for informational purposes only.