Trablina Lee Anderson, LPN

Individual provider Active NPI Licensed Practical Nurse · Lakewood, OH

NPI 1639411994 · NPPES record last updated Mar 25, 2013

Key facts

NPI
1639411994
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
145395 (OH)
Practice address
2220 Wascana Ave
Lakewood, OH 44107-6134
Phone
(216) 820-3594
NPI assigned
Mar 25, 2013
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
145395OHMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 145395 OH Yes

Addresses

Primary practice location

2220 Wascana Ave
Lakewood, OH 44107-6134

Mailing address

2220 Wascana Ave
Lakewood, OH 44107-6134
Phone (216) 820-3594

Other providers in Lakewood, OH

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

Sources for this page

Verify at the official NPI Registry.