Individual
JACKIE LYNN BUECHELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
12409 LORAIN AVE STE B, CLEVELAND, OH 44111-3515
(216) 252-6670
Mailing address
12409 LORAIN AVE STE B, CLEVELAND, OH 44111-3515
(216) 252-6670
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.131543.MEDS
OH
164W00000X
Licensed Practical Nurse
PN093337L
PA
Other
Enumeration date
03/21/2019
Last updated
03/21/2019
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