Provider Demographics
NPI:1609139575
Name:NAUGHTON, DEBRA LENORE (LPN)
Entity Type:Individual
Prefix:MS
First Name:DEBRA
Middle Name:LENORE
Last Name:NAUGHTON
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 1:17545 MADISON AVE
Mailing Address - Street 2:APT 208
Mailing Address - City:LAKEWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44107-3566
Mailing Address - Country:US
Mailing Address - Phone:216-221-8676
Mailing Address - Fax:
Practice Address - Street 1:17545 MADISON AVE
Practice Address - Street 2:APT 208
Practice Address - City:LAKEWOOD
Practice Address - State:OH
Practice Address - Zip Code:44107-3566
Practice Address - Country:US
Practice Address - Phone:216-221-8676
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-16
Last Update Date:2012-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN102476164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse