Individual
CRYSTAL LOMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24 GRANGE AVE, MOUNT VERNON, OH 43050-1114
(740) 358-2850
Mailing address
24 GRANGE AVE, MOUNT VERNON, OH 43050-1114
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.160873
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2593653
—
OH
Enumeration date
12/29/2015
Last updated
01/21/2016
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