Individual
MRS. DAISY CRYSTAL MARIE MARCUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2672 TWO RIDGE AVE, LANCASTER, OH 43130-7821
(740) 409-2449
Mailing address
2672 TWO RIDGE AVE, LANCASTER, OH 43130-7821
(740) 409-2449
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
151818
OK
Other
Enumeration date
08/01/2014
Last updated
08/01/2014
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