Provider Demographics
NPI:1457909418
Name:BOYLES, LILLIAN FRANCES (LPN)
Entity Type:Individual
Prefix:
First Name:LILLIAN
Middle Name:FRANCES
Last Name:BOYLES
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 1:1104 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SHARPSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16150-1038
Mailing Address - Country:US
Mailing Address - Phone:724-418-8874
Mailing Address - Fax:
Practice Address - Street 1:1104 W MAIN ST
Practice Address - Street 2:
Practice Address - City:SHARPSVILLE
Practice Address - State:PA
Practice Address - Zip Code:16150-1038
Practice Address - Country:US
Practice Address - Phone:724-418-8874
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-03
Last Update Date:2019-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPN306541164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse