Provider Demographics
NPI:1245488741
Name:COATES, RONALD LAMAR (LPN)
Entity type:Individual
Prefix:
First Name:RONALD
Middle Name:LAMAR
Last Name:COATES
Suffix:
Gender:M
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2716 ALGONQUIN PKWY
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43606-3710
Mailing Address - Country:US
Mailing Address - Phone:419-699-0905
Mailing Address - Fax:419-724-4007
Practice Address - Street 1:2716 ALGONQUIN PKWY
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43606-3710
Practice Address - Country:US
Practice Address - Phone:419-699-0905
Practice Address - Fax:419-724-4007
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-09
Last Update Date:2008-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN120873164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse