Amanda Jonette Lare, LPN
Individual provider Active NPI Licensed Practical Nurse · Atwater, OH
NPI 1417694530 · NPPES record last updated May 19, 2022
Key facts
- NPI
- 1417694530
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 172225 (OH)
- Practice address
- 13969 German Church Rd
Atwater, OH 44201-9016 - Phone
- (330) 206-7249
- NPI assigned
- May 19, 2022
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 172225 | OH | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 172225 | OH | Yes |
Addresses
Primary practice location
13969 German Church Rd
Atwater, OH 44201-9016
Mailing address
206 W Vine St
Alliance, OH 44601-1339
Phone (330) 206-7249
Other providers in Atwater, OH
- Theresa Groves
- Amanda Hermann
- Mathew John Hlivko
- Elizabeth Hoopes
- Heather Lynn Hughes
- Juan Camilo Lopera Nino
- Nicole Love
- Carol McAdow
- Nadia McClinsey
- Natalie Hope Merchant
All providers in Atwater, OH · Licensed Practical Nurse in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 19, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.