Individual
DIANE E BECKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2898 MOUNT HOLYOKE RD, COLUMBUS, OH 43221-2913
(614) 847-9730
Mailing address
2898 MOUNT HOLYOKE RD, COLUMBUS, OH 43221-2913
(614) 847-9730
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN130110-M-IV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3080875
—
OH
Enumeration date
07/10/2010
Last updated
08/21/2012
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