Provider Demographics
NPI:1083950547
Name:HINKLEMAN, LOIS J (RN)
Entity Type:Individual
Prefix:MRS
First Name:LOIS
Middle Name:J
Last Name:HINKLEMAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5812 BRAINARD DR
Mailing Address - Street 2:
Mailing Address - City:SYLVANIA
Mailing Address - State:OH
Mailing Address - Zip Code:43560-1210
Mailing Address - Country:US
Mailing Address - Phone:419-882-6147
Mailing Address - Fax:
Practice Address - Street 1:5812 BRAINARD DR
Practice Address - Street 2:
Practice Address - City:SYLVANIA
Practice Address - State:OH
Practice Address - Zip Code:43560-1210
Practice Address - Country:US
Practice Address - Phone:419-882-6147
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-02
Last Update Date:2013-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN168727163W00000X
OH168727163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse