Tabitha Lynn Lansing, LPN

Individual provider Active NPI Licensed Vocational Nurse · Brookville, OH

NPI 1205014131 · NPPES record last updated Feb 1, 2008

Key facts

NPI
1205014131
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Vocational Nurse 164X00000X
License
PN113445 (OH)
Practice address
307 Flanders Ave
Brookville, OH 45309-1336
Phone
(937) 770-1144
NPI assigned
Feb 1, 2008
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
PN113445OHMDLicensed Vocational Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN113445 OH
Licensed Vocational Nurse 164X00000X PN113445 OH Yes

Addresses

Primary practice location

307 Flanders Ave
Brookville, OH 45309-1336

Mailing address

307 Flanders Ave
Brookville, OH 45309-1336
Phone (937) 770-1144

Other providers in Brookville, OH

All providers in Brookville, OH · Licensed Vocational Nurse in Ohio

Sources for this page

Verify at the official NPI Registry.