Individual
ECHO LARIE HEARN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1414 S GREEN RD STE 112, SOUTH EUCLID, OH 44121-3936
(216) 450-8280
Mailing address
14520 MILVERTON RD APT 203, CLEVELAND, OH 44120-4187
(216) 450-8280
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
168943
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
168943
OHIO BOARD OF NURSING
OH
Enumeration date
02/01/2021
Last updated
02/01/2021
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