Larry Workman, LPN
Individual provider Active NPI Licensed Practical Nurse · Mantua, OH
NPI 1821300997 · NPPES record last updated Jul 7, 2010
Key facts
- NPI
- 1821300997
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- PN.127167-M-IV (OH)
- Practice address
- 9933 State Route 700
Mantua, OH 44255-9730 - Phone
- (216) 246-1325
- NPI assigned
- Jul 6, 2010
- Sex
- Male
- 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 |
|---|---|---|---|
| PN.127167-M-IV | OH | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN.127167-M-IV | OH | Yes |
Addresses
Primary practice location
9933 State Route 700
Mantua, OH 44255-9730
Mailing address
9933 State Route 700
Mantua, OH 44255-9730
Phone (216) 246-1325
Other providers in Mantua, OH
All providers in Mantua, 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 Jul 7, 2010. 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.