Individual
MRS. LORETTA L LINGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1863 FORMAN RD, JEFFERSON, OH 44047-9713
(440) 563-5084
Mailing address
1863 FORMAN RD, JEFFERSON, OH 44047-9713
(440) 563-5084
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN 259795
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2290444
—
OH
Enumeration date
06/08/2007
Last updated
11/05/2007
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