Doctor Name: | MRS. NANCY LAUTZENHEISER |
NPI Number: | 1215339726 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | REGISTERED NURSE |
License Number: | 268828 |
Business Practice Address: | 205 W Crawford St Van Wert, OH - 458911903 |
Business Phone Number: | 4192380648 |
Business Fax Number: | |
Mailing Address: | 10992 State Route 118, VAN WERT |
State: | OH |
Postal Code: | 458919243 |
Phone Number: | 4192381761 |
Fax Number: | 4192385055 |
NPI Enumeration Date: | 09/16/2014 |
NPI Last Update Date: | 09/16/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WS0200X |
License Number: | 268828 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | School |
Taxonomy Definition: |