Individual
MS. CRYSTAL LEE NEELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1440 LEXINGTON DR, VERMILION, OH 44089
(440) 320-4335
Mailing address
1440 LEXINGTON DR, VERMILION, OH 44089-1558
(440) 320-4335
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
140864
OH
164W00000X
Licensed Practical Nurse
LPN.140864.MEDS-IV
OH
251J00000X
Nursing Care Agency
LPN.140864.MEDS-IV
OH
Other
Enumeration date
05/31/2013
Last updated
07/12/2018
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