Individual
MR. ELBERT LELAND HANNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.P.N
Contact information
Practice address
7301 DEPOT RD, ASHTABULA, OH 44004-9481
(440) 969-9792
Mailing address
7301 DEPOT RD, ASHTABULA, OH 44004-9481
(440) 969-9792
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
100090
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2150149
—
OH
Enumeration date
03/25/2006
Last updated
07/09/2007
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