Provider Demographics
NPI:1346446655
Name:TRIGG, DEBORA DIENER (LPN)
Entity Type:Individual
Prefix:MRS
First Name:DEBORA
Middle Name:DIENER
Last Name:TRIGG
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 1:1012 BUFFALO ST
Mailing Address - Street 2:
Mailing Address - City:CONNEAUT
Mailing Address - State:OH
Mailing Address - Zip Code:44030-1557
Mailing Address - Country:US
Mailing Address - Phone:440-593-2399
Mailing Address - Fax:440-593-3900
Practice Address - Street 1:1012 BUFFALO ST
Practice Address - Street 2:
Practice Address - City:CONNEAUT
Practice Address - State:OH
Practice Address - Zip Code:44030-1557
Practice Address - Country:US
Practice Address - Phone:440-593-2399
Practice Address - Fax:440-593-3900
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN 111205 MEDS164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse