Individual
DEA D COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
42 LIBORIO LN, SMYRNA, DE 19977-7711
(302) 670-5160
Mailing address
PO BOX 764, SMYRNA, DE 19977-0764
(302) 423-9385
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L2-0012930
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
871998008
—
DE
Enumeration date
12/09/2021
Last updated
04/21/2026
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