MEDICARE: LAKITA MERRINER

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	251E00000X	Home Health Agency		OH

General Provider Information

NPI Number	:	1568298909
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAKITA MERRINER

Provider Business Mailing Address
First Line	:	675 WOLF LEDGES PKWY UNIT 2757
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44309-9125
Country	:	US
Telephone Number	:	440-249-7007
Fax Number	:

Provider Business Practice Location Address
First Line	:	1025 S BROADWAY ST STE 403
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44311-2340
Country	:	US
Telephone Number	:	440-249-7007
Fax Number	:

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

Provider Enumeration Date	:	09/11/2024
Last Update Date	:	09/11/2024

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Directions to “ LAKITA MERRINER ” Practice Location

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