Provider Demographics
NPI:1710111000
Name:DEAL, CHRISTINA LABECK (LPN)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:LABECK
Last Name:DEAL
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 1:1008 LENORE AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43224-3351
Mailing Address - Country:US
Mailing Address - Phone:614-525-0362
Mailing Address - Fax:
Practice Address - Street 1:1008 LENORE AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43224-3351
Practice Address - Country:US
Practice Address - Phone:614-525-0362
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-14
Last Update Date:2009-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN112117164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse