Tracy Lee Carrico LPN

NPI 1982724233 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1982724233
Gender Male
Enumeration Date 03/30/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
34986 US HIGHWAY 50
LONDONDERRY OH, 45647-9722, US
Phone (740) 887-2342
Fax
Business Location
34986 US HIGHWAY 50
LONDONDERRY OH, 45647-9722, US
Phone (740) 887-2342
Fax
Toxanomy
Taxonomy Code 164W00000X
License State Ohio
License Number 092080
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According to our database, Tracy Lee Carrico LPN NPI is 1982724233, taxonomy code is 164W00000X and license number is 092080, license state is located at Ohio. Tracy Lee Carrico LPN physically located at 34986 Us Highway 50, Londonderry OH, 45647-9722. NPI Number Tracy Lee Carrico LPN has the Individual type.

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1982724233 NPI number is provided on an as is basis without warranty of any kind. 1982724233 is maintained by the National Plan & Provider Enumeration System. The contents of Tracy Lee Carrico LPN are for informational purposes only.