Individual
LANA L. HACKWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
3130 HIGHLAND AVE, CINCINNATI, OH 45219-2399
(513) 584-4061
(513) 584-3349
Mailing address
2830 VICTORY PKWY, CENTRAL CREDENTIALING, CINCINNATI, OH 45206-1785
(513) 245-3669
(513) 475-7259
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
COA.03787-NP
OH
Other
Enumeration date
03/18/2011
Last updated
03/18/2011
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