Individual
MRS. DIANNA LYNNE MUNDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
1592 GRANVILLE PIKE, LANCASTER, OH 43130-1076
(740) 687-0835
Mailing address
1592 GRANVILLE PIKE, LANCASTER, OH 43130-1076
(740) 687-0835
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN118102
OH
Other
Enumeration date
05/09/2007
Last updated
07/08/2007
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