Provider Demographics
NPI:1326051624
Name:DAKIN, LAUREEN RENE'
Entity Type:Individual
Prefix:MRS
First Name:LAUREEN
Middle Name:RENE'
Last Name:DAKIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:221MAINST.
Mailing Address - Street 2:
Mailing Address - City:KIMBOLTON
Mailing Address - State:OH
Mailing Address - Zip Code:43749-0016
Mailing Address - Country:US
Mailing Address - Phone:740-435-3157
Mailing Address - Fax:740-435-3157
Practice Address - Street 1:221 MAIN STREET
Practice Address - Street 2:
Practice Address - City:KIMBOLTON
Practice Address - State:OH
Practice Address - Zip Code:43749-0016
Practice Address - Country:US
Practice Address - Phone:740-435-3157
Practice Address - Fax:740-435-3157
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide