Individual
MRS. DAWN MICHELLE RUNCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3768 E MAIN ST, WHITEHALL, OH 43213-2925
(513) 834-7063
Mailing address
615 ELSINORE PL STE 200, CINCINNATI, OH 45202-1457
(513) 834-7063
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.107957.MEDS-IV
OH
164W00000X
Licensed Practical Nurse
PN-107957
OH
Other
Enumeration date
04/03/2010
Last updated
04/07/2021
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