Cynthia Scott, LPN

Individual provider Active NPI Licensed Practical Nurse · Lucas, OH

NPI 1306199807 · NPPES record last updated Oct 21, 2012

Key facts

NPI
1306199807
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
PN-129888 (OH)
Practice address
78 Leiter Rd
Lucas, OH 44843-9762
Phone
(419) 961-4394
NPI assigned
Oct 21, 2012
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
PN-129888OHMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN-129888 OH Yes

Addresses

Primary practice location

78 Leiter Rd
Lucas, OH 44843-9762

Mailing address

78 Leiter Rd
Lucas, OH 44843-9762

Other providers in Lucas, OH

All providers in Lucas, OH · Licensed Practical Nurse in Ohio

Sources for this page

Verify at the official NPI Registry.