MEDICARE: JOHN ALAN SLONE 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
1	164W00000X	Licensed Practical Nurse	PN-116462	OH

General Provider Information

NPI Number	:	1427284009
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN ALAN SLONE LPN

Provider Business Mailing Address
First Line	:	71 W MAIN ST
Second Line	:
City	:	LEXINGTON
State	:	OH
Zip	:	44904-1113
Country	:	US
Telephone Number	:	419-884-7301
Fax Number	:

Provider Business Practice Location Address
First Line	:	71 W MAIN ST
Second Line	:
City	:	LEXINGTON
State	:	OH
Zip	:	44904-1113
Country	:	US
Telephone Number	:	419-884-7301
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2009
Last Update Date	:	06/09/2009

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