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MRS. LAURIE ANN CRISWELL LPN

>> Licensed Practical Nurse >> Nursing Service Providers

Registrant NPI Number: 1134455124

Individual Registrant:
MRS. LAURIE ANN CRISWELL LPN
Gender: F
Sole Proprietor

Location and contact information for practice:
327 S ALLEN ST  BRYAN, OH 43506-1883 US
Tel: 419-636-1352  Fax: --

Contact information for business:
327 S ALLEN ST  BRYAN, OH 43506-1883 US
Tel: 419-636-1352  Fax: --

Registration Information:
NPI: 1134455124
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y164W00000XNursing Service Providers
Licensed Practical Nurse
OHPN136071

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
DRIVER LICENSERP537401OH01




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