Individual
MRS. DIANE MCLEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3559 ANTISDALE AVE, CLEVELAND HEIGHTS, OH 44118-2247
(216) 321-2481
Mailing address
3559 ANTISDALE AVE, CLEVELAND HEIGHTS, OH 44118-2247
(216) 321-2481
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.023974-MEDS
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PN.023974-MEDS
BOARD OF NURSING PRACTICE
OH
Enumeration date
07/08/2009
Last updated
07/08/2009
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