Provider Demographics
NPI:1922810936
Name:LALLATHIN, ANGELINE J
Entity type:Individual
Prefix:MS
First Name:ANGELINE
Middle Name:J
Last Name:LALLATHIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6260 SAINT MARYS RD
Mailing Address - Street 2:
Mailing Address - City:NASHPORT
Mailing Address - State:OH
Mailing Address - Zip Code:43830-9473
Mailing Address - Country:US
Mailing Address - Phone:740-297-9780
Mailing Address - Fax:
Practice Address - Street 1:6260 SAINT MARYS RD
Practice Address - Street 2:
Practice Address - City:NASHPORT
Practice Address - State:OH
Practice Address - Zip Code:43830-9473
Practice Address - Country:US
Practice Address - Phone:740-297-9780
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-25
Last Update Date:2025-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care