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NPI Code Detail

MEDICARE: DEANNA CRAWFORD LPN

MEDICARE: DEANNA CRAWFORD LPN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164W00000XLicensed Practical Nurse155584-M-IVOH

General Provider Information

NPI Number : 1215300173
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEANNA CRAWFORD LPN
Provider Business Mailing Address
First Line : 6204 STOCKTON TRAIL WAY
Second Line :
City : COLUMBUS
State : OH
Zip : 43213-4464
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6204 STOCKTON TRAIL WAY
Second Line :
City : COLUMBUS
State : OH
Zip : 43213-4464
Country : US
Telephone Number : 614-738-3818
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2015
Last Update Date : 11/01/2015

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Directions to “ DEANNA CRAWFORD LPN” Practice Location

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