Provider Demographics
NPI:1386035798
Name:TIENTCHEU, LUCIE (PDN)
Entity Type:Individual
Prefix:
First Name:LUCIE
Middle Name:
Last Name:TIENTCHEU
Suffix:
Gender:F
Credentials:PDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6784 STALLINGS LN
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45011-6550
Mailing Address - Country:US
Mailing Address - Phone:513-328-9269
Mailing Address - Fax:
Practice Address - Street 1:6784 STALLINGS LN
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45011-6550
Practice Address - Country:US
Practice Address - Phone:513-328-9269
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-07
Last Update Date:2015-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN.153437-M-IV164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse