Provider Demographics
NPI:1235570144
Name:ZIERDEN, LORETTA C (LPN)
Entity Type:Individual
Prefix:MS
First Name:LORETTA
Middle Name:C
Last Name:ZIERDEN
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 1:1053-84 HUNTERS RUN ROAD
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:OH
Mailing Address - Zip Code:45036-8446
Mailing Address - Country:US
Mailing Address - Phone:513-693-3994
Mailing Address - Fax:
Practice Address - Street 1:1053-84 HUNTERS RUN ROAD
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:OH
Practice Address - Zip Code:45036-8446
Practice Address - Country:US
Practice Address - Phone:513-693-3994
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-09
Last Update Date:2013-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN148546164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse