Individual
CHAVA LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
50 LATTA AVE, COLUMBUS, OH 43205-1548
(614) 286-1938
Mailing address
50 LATTA AVE, COLUMBUS, OH 43205-1548
(614) 286-1938
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.136353-M-IV
OH
Other
Enumeration date
12/11/2013
Last updated
12/11/2013
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