Individual
MS. ELIZABETH ANN DAUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
544 THISTLE DR, DELAWARE, OH 43815
(740) 272-8436
Mailing address
544 THISTLE DR, DELAWARE, OH 43815
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PW102981
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2395171
IP
—
Enumeration date
05/03/2007
Last updated
07/08/2007
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