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NPI Code Detail

MEDICARE: SHEILA GOTTFRIED LPN

MEDICARE:   SHEILA  GOTTFRIED  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 NurseLPN.126571.MEDS-IVOH

General Provider Information

NPI Number : 1326551110
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHEILA GOTTFRIED LPN
Provider Business Mailing Address
First Line : 241 S LEONARD AVE
Second Line :
City : LIMA
State : OH
Zip : 45804-3047
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2727 SAINT JOHNS RD STE D
Second Line :
City : LIMA
State : OH
Zip : 45804-4029
Country : US
Telephone Number : 567-940-9145
Fax Number : 567-940-9803
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2017
Last Update Date : 11/15/2017

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Directions to “ SHEILA GOTTFRIED LPN” Practice Location

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