Provider Demographics
NPI:1821223538
Name:BUCK, CORA ELIZABETH (LPN)
Entity Type:Individual
Prefix:MRS
First Name:CORA
Middle Name:ELIZABETH
Last Name:BUCK
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 1:4560 HUGGINS RD
Mailing Address - Street 2:
Mailing Address - City:ZANESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43701-9358
Mailing Address - Country:US
Mailing Address - Phone:740-661-5045
Mailing Address - Fax:
Practice Address - Street 1:4560 HUGGINS RD
Practice Address - Street 2:
Practice Address - City:ZANESVILLE
Practice Address - State:OH
Practice Address - Zip Code:43701-9358
Practice Address - Country:US
Practice Address - Phone:740-661-5045
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-26
Last Update Date:2009-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH131421164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse