Provider Demographics
NPI:1184941627
Name:LOFFER, CYNTHIA SUE (LPN M-IV)
Entity type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:SUE
Last Name:LOFFER
Suffix:
Gender:F
Credentials:LPN M-IV
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8336 PITSBURG LAURA RD
Mailing Address - Street 2:
Mailing Address - City:ARCANUM
Mailing Address - State:OH
Mailing Address - Zip Code:45304-9491
Mailing Address - Country:US
Mailing Address - Phone:937-692-8108
Mailing Address - Fax:
Practice Address - Street 1:8336 PITSBURG LAURA RD
Practice Address - Street 2:
Practice Address - City:ARCANUM
Practice Address - State:OH
Practice Address - Zip Code:45304-9491
Practice Address - Country:US
Practice Address - Phone:937-692-8108
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-23
Last Update Date:2010-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN 138275164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse