Individual
MS. ELISABETH LOUISE COVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1244 REDMAN AVE, MANSFIELD, OH 44905-2226
(419) 685-0753
Mailing address
1244 REDMAN AVE, MANSFIELD, OH 44905-2226
(419) 685-0753
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN095892IV
OH
Other
Enumeration date
05/25/2007
Last updated
07/08/2007
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