Provider Demographics
NPI:1467901843
Name:LEAR, STEPHAN (LPN)
Entity Type:Individual
Prefix:
First Name:STEPHAN
Middle Name:
Last Name:LEAR
Suffix:
Gender:M
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:514 MORRISON ST N
Mailing Address - Street 2:
Mailing Address - City:NEVADA
Mailing Address - State:OH
Mailing Address - Zip Code:44849-9741
Mailing Address - Country:US
Mailing Address - Phone:419-310-1110
Mailing Address - Fax:
Practice Address - Street 1:514 MORRISON ST N
Practice Address - Street 2:
Practice Address - City:NEVADA
Practice Address - State:OH
Practice Address - Zip Code:44849-9741
Practice Address - Country:US
Practice Address - Phone:419-310-1110
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-27
Last Update Date:2016-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLPN.152384.MEDS-IV164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse