Individual
JAMES LEROY SORENSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
1893 HARRIS STATION RD, BAINBRIDGE, OH 45612-9736
(740) 626-0003
Mailing address
1893 HARRIS STATION RD, BAINBRIDGE, OH 45612-9736
(740) 626-0003
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.141065-M-IV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PN.141065-M-IV
LPN LICENSE
OH
Enumeration date
11/08/2010
Last updated
11/08/2010
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