Individual
AMANDA POLLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
339 SCOTT DR, LANCASTER, OH 43130-1455
(740) 654-3253
Mailing address
9650 WOOD RD, ALBANY, OH 45710-9205
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN111050
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2482700
—
OH
Enumeration date
02/06/2007
Last updated
07/09/2007
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