Individual
MRS. DEBORAH MARLENE LANDAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
310 CUSTER RD, STOCKPORT, OH 43787-8592
(740) 551-9309
Mailing address
310 CUSTER RD, STOCKPORT, OH 43787-8592
(740) 551-9309
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN089152
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2231481
—
OH
Enumeration date
03/05/2006
Last updated
03/21/2016
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