Provider Demographics
NPI:1922232446
Name:HUNT, LARONDA MICHELLE (LPN)
Entity Type:Individual
Prefix:
First Name:LARONDA
Middle Name:MICHELLE
Last Name:HUNT
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 1:9603 MCCRACKEN BLVD
Mailing Address - Street 2:
Mailing Address - City:GARFIELD HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44125-2317
Mailing Address - Country:US
Mailing Address - Phone:216-315-0076
Mailing Address - Fax:
Practice Address - Street 1:9603 MCCRACKEN BLVD
Practice Address - Street 2:
Practice Address - City:GARFIELD HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44125-2317
Practice Address - Country:US
Practice Address - Phone:216-315-0076
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-12
Last Update Date:2009-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN 109-773164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse