Organization
LORI BURCKHARTTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI K BURCKHARTTE LPN (LPN)
(440) 969-0972
Entity
Organization
Contact information
Practice address
1505 GLADDING AVE, ASHTABULA, OH 44004-2413
(440) 969-0972
Mailing address
1505 GLADDING AVE, ASHTABULA, OH 44004-2413
(440) 969-0972
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
137699
OH
Other
Enumeration date
11/06/2012
Last updated
11/06/2012
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