Provider Demographics
NPI:1750520631
Name:MILLIGAN, LORI LYNN (LPN)
Entity type:Individual
Prefix:
First Name:LORI
Middle Name:LYNN
Last Name:MILLIGAN
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 1:1825 SIOUX DR
Mailing Address - Street 2:
Mailing Address - City:CIRCLEVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43113-9182
Mailing Address - Country:US
Mailing Address - Phone:740-497-1286
Mailing Address - Fax:
Practice Address - Street 1:1825 SIOUX DR
Practice Address - Street 2:
Practice Address - City:CIRCLEVILLE
Practice Address - State:OH
Practice Address - Zip Code:43113-9182
Practice Address - Country:US
Practice Address - Phone:740-497-1286
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-17
Last Update Date:2009-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN115126 IV164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse