Provider Demographics
NPI:1356492847
Name:ALLEN, KAREN LYNN (LPN)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:LYNN
Last Name:ALLEN
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 1:3021 LEXINGTON STEAM CORNERS RD
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:44904-9627
Mailing Address - Country:US
Mailing Address - Phone:419-884-2722
Mailing Address - Fax:
Practice Address - Street 1:3021 LEXINGTON STEAM CORNERS RD
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:OH
Practice Address - Zip Code:44904-9627
Practice Address - Country:US
Practice Address - Phone:419-884-2722
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-13
Last Update Date:2010-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN.093954-MEDS164W00000X
OH359748163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No164W00000XNursing Service ProvidersLicensed Practical Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2351986Medicaid