MEDICARE: SARAH GEORGE 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	140565	OH

General Provider Information

NPI Number	:	1770940819
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH GEORGE LPN

Provider Business Mailing Address
First Line	:	6710 VIRGINIA AVE
Second Line	:
City	:	PARMA
State	:	OH
Zip	:	44129-2630
Country	:	US
Telephone Number	:	216-973-7453
Fax Number	:	440-885-2472

Provider Business Practice Location Address
First Line	:	6710 VIRGINIA AVE
Second Line	:
City	:	PARMA
State	:	OH
Zip	:	44129-2630
Country	:	US
Telephone Number	:	216-973-7453
Fax Number	:	440-885-2472

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

Provider Enumeration Date	:	01/20/2016
Last Update Date	:	01/20/2016

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Directions to “ SARAH GEORGE LPN” Practice Location

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