Individual
ERICA LYNN SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
169 SUMMIT ST, LEBANON, OH 45036
(513) 312-4781
Mailing address
169 SUMMIT ST, LEBANON, OH 45036-1943
(513) 312-4781
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN128822
OH
Other
Enumeration date
04/21/2014
Last updated
04/21/2014
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