Individual
MRS. BONNIE LORAINE GRIFFITH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
208 LANG LANE, LUCASVILLE, OH 45648-8532
(740) 259-3499
(740) 259-0457
Mailing address
208 LANG LANE, LUCASVILLE, OH 45648-8532
(740) 259-3499
(740) 259-0457
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN063520
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2246359
—
OH
Enumeration date
04/12/2006
Last updated
07/08/2007
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