Provider Demographics
NPI:1427367747
Name:MORRIS, LECIA RUTHANN (RN)
Entity Type:Individual
Prefix:MISS
First Name:LECIA
Middle Name:RUTHANN
Last Name:MORRIS
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 1:7460 E HUNTINGTON DR
Mailing Address - Street 2:APT 2
Mailing Address - City:BOARDMAN
Mailing Address - State:OH
Mailing Address - Zip Code:44512-4051
Mailing Address - Country:US
Mailing Address - Phone:617-820-0661
Mailing Address - Fax:
Practice Address - Street 1:7460 E HUNTINGTON DR
Practice Address - Street 2:APT 2
Practice Address - City:BOARDMAN
Practice Address - State:OH
Practice Address - Zip Code:44512-4051
Practice Address - Country:US
Practice Address - Phone:617-820-0661
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-04
Last Update Date:2010-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH340408163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse