Individual
HEATHER RENEE LAGRANDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
803 W MARKET ST STE 200, LIMA, OH 45805-2796
(419) 222-3737
(419) 229-3234
Mailing address
PO BOX 636930, CINCINNATI, OH 45263-6930
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.389494
OH
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN.CNP.0027042
OH
Other
Enumeration date
04/24/2020
Last updated
08/10/2020
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