Provider Demographics
NPI:1326332859
Name:HARGER, LUCINDA KIMBERLEY (RN)
Entity Type:Individual
Prefix:MRS
First Name:LUCINDA
Middle Name:KIMBERLEY
Last Name:HARGER
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 1:1452 LAKELAND AVE
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44107-3815
Mailing Address - Country:US
Mailing Address - Phone:614-284-2959
Mailing Address - Fax:
Practice Address - Street 1:1452 LAKELAND AVE
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:OH
Practice Address - Zip Code:44107-3815
Practice Address - Country:US
Practice Address - Phone:614-284-2959
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-01
Last Update Date:2011-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.356987163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse