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NPI Code Detail

MEDICARE: MRS. LATONIA Y TRENT-SMITH LPN

MEDICARE: MRS. LATONIA Y TRENT-SMITH 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 Nurse097593OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1790956811
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LATONIA Y TRENT-SMITH LPN
Provider Business Mailing Address
First Line : 1791 ALUM CREEK DR
Second Line :
City : COLUMBUS
State : OH
Zip : 43207-1708
Country : US
Telephone Number : 614-445-8131
Fax Number :
Provider Business Practice Location Address
First Line : 1791 ALUM CREEK DR
Second Line :
City : COLUMBUS
State : OH
Zip : 43207-1708
Country : US
Telephone Number : 614-445-8131
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2008
Last Update Date : 12/11/2017

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