Provider Demographics
NPI:1417255936
Name:LEBRETON, KARLA RENEE (RN)
Entity Type:Individual
Prefix:MRS
First Name:KARLA
Middle Name:RENEE
Last Name:LEBRETON
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 1:30013 MILDRED DR
Mailing Address - Street 2:
Mailing Address - City:WILLOWICK
Mailing Address - State:OH
Mailing Address - Zip Code:44095-4835
Mailing Address - Country:US
Mailing Address - Phone:440-833-0553
Mailing Address - Fax:
Practice Address - Street 1:30013 MILDRED DR
Practice Address - Street 2:
Practice Address - City:WILLOWICK
Practice Address - State:OH
Practice Address - Zip Code:44095-4835
Practice Address - Country:US
Practice Address - Phone:440-833-0553
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-08
Last Update Date:2011-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.368362163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse