Individual
MRS. DIANE LORRAINE DAVENPORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
737 CRANE WALK, APT D, AKRON, OH 44306-2290
(330) 957-0625
Mailing address
737 CRANE WALK, APT D, AKRON, OH 44306-2290
(330) 957-0625
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN 083149
OH
Other
Enumeration date
06/15/2009
Last updated
06/18/2009
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