Provider Demographics
NPI:1568493302
Name:LAWHON, NANCY ANN (LPN)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:ANN
Last Name:LAWHON
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 1:393 COUNTY ROAD 12
Mailing Address - Street 2:
Mailing Address - City:PROCTORVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45669-8455
Mailing Address - Country:US
Mailing Address - Phone:740-886-1025
Mailing Address - Fax:740-886-1025
Practice Address - Street 1:393 COUNTY ROAD 12
Practice Address - Street 2:
Practice Address - City:PROCTORVILLE
Practice Address - State:OH
Practice Address - Zip Code:45669-8455
Practice Address - Country:US
Practice Address - Phone:740-886-1025
Practice Address - Fax:740-886-1025
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN.104178164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2576181OtherCARE STAR