Individual
AMY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2652 KULL RD, LANCASTER, OH 43130-7707
(740) 687-0835
Mailing address
2652 KULL RD, LANCASTER, OH 43130-7707
(740) 687-0835
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.117358.MEDS
OH
Other
Enumeration date
08/31/2021
Last updated
08/31/2021
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