Provider Demographics
NPI:1013643576
Name:DOLINSKY, REBEKAH M (LPN)
Entity Type:Individual
Prefix:
First Name:REBEKAH
Middle Name:M
Last Name:DOLINSKY
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2233 ADAMS ST
Mailing Address - Street 2:
Mailing Address - City:LORAIN
Mailing Address - State:OH
Mailing Address - Zip Code:44052-3107
Mailing Address - Country:US
Mailing Address - Phone:440-541-9506
Mailing Address - Fax:
Practice Address - Street 1:2233 ADAMS ST
Practice Address - Street 2:
Practice Address - City:LORAIN
Practice Address - State:OH
Practice Address - Zip Code:44052-3107
Practice Address - Country:US
Practice Address - Phone:440-541-9506
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-27
Last Update Date:2022-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN123204IV164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse