Individual
SUSAN MARGARET TERRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN, MDS
Contact information
Practice address
2494 N LEBANON ST, LEBANON, IN 46052-1111
(765) 482-2076
(765) 482-2082
Mailing address
2494 N LEBANON ST, LEBANON, IN 46052-1111
(765) 482-2076
(765) 482-2082
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043.108076
IN
Other
Enumeration date
08/15/2022
Last updated
08/15/2022
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