Provider Demographics
NPI:1275864183
Name:DILEONARDO, DARLENE LYNN (LPN)
Entity Type:Individual
Prefix:MISS
First Name:DARLENE
Middle Name:LYNN
Last Name:DILEONARDO
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 1:921 STURBRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:MEDINA
Mailing Address - State:OH
Mailing Address - Zip Code:44256-3220
Mailing Address - Country:US
Mailing Address - Phone:330-990-1920
Mailing Address - Fax:330-598-1241
Practice Address - Street 1:921 STURBRIDGE DR
Practice Address - Street 2:
Practice Address - City:MEDINA
Practice Address - State:OH
Practice Address - Zip Code:44256-3220
Practice Address - Country:US
Practice Address - Phone:330-990-1920
Practice Address - Fax:330-598-1241
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-18
Last Update Date:2010-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN.122459-IV164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse