Tonya Lynn Louis, LPN

Individual provider Active NPI Licensed Practical Nurse · Jeromesville, OH

NPI 1992007405 · NPPES record last updated Dec 3, 2010

Key facts

NPI
1992007405
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
PN126189-MIV (OH)
Practice address
2280 State Route 179
Jeromesville, OH 44840-9609
Phone
(419) 908-5694
NPI assigned
Dec 3, 2010
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
PN126189-MIVOHMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN126189-MIV OH Yes

Addresses

Primary practice location

2280 State Route 179
Jeromesville, OH 44840-9609

Mailing address

2280 State Route 179
Jeromesville, OH 44840-9609
Phone (419) 908-5694

Other providers in Jeromesville, OH

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

Sources for this page

Verify at the official NPI Registry.