Healthcare Provider Details

I. General information

NPI: 1215449194
Provider Name (Legal Business Name): BRITTANY OGG LPN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/31/2017
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1592 GRANVILLE PIKE
LANCASTER OH
43130-1076
US

IV. Provider business mailing address

1592 GRANVILLE PIKE
LANCASTER OH
43130-1076
US

V. Phone/Fax

Practice location:
  • Phone: 740-687-0835
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License NumberLPN.161040.MEDS-IV
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: