Organization
MILLBOURN CNP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORNA MILLBOURN CNP (PRESIDENT)
(937) 638-9468
Entity
Organization
Contact information
Practice address
2440 BATON ROUGE, LIMA, OH 45805-5104
(419) 331-2273
(419) 331-2205
Mailing address
17978 SHARP RD, SIDNEY, OH 45365-9229
(937) 638-9468
(419) 331-2205
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
COA14504NP
OH
314000000X
Skilled Nursing Facility
Primary
COA14504NP
OH
Other
Enumeration date
09/04/2014
Last updated
01/08/2015
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