Individual
MRS. DIANA LYNN TOMMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
60 LORING DR, CHARDON, OH 44024-9125
(440) 279-4016
Mailing address
60 LORING DR, CHARDON, OH 44024-1500
(440) 279-4016
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN092728
OH
Other
Enumeration date
08/25/2007
Last updated
04/02/2010
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