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Individual

AMY NICOLE LANE-TRETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
5517 STONE PATH DR, MIDDLETOWN, OH 45042-3058
(513) 594-0986
Mailing address
5517 STONE PATH DR, MIDDLETOWN, OH 45042-3058
(513) 594-0986

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN-102920
OH

Other

Enumeration date
03/27/2008
Last updated
03/27/2008
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