Most Relevant Information
Provider Data
| NPI Number: | 1003026832 |
| Provider Name: | CARMEN HAZLIP LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | PN112202 |
Most Important Dates
| Enumeration Date: | 05/23/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
3584 GOLDEN MEADOWS CT
DAYTON
OH
454041437
Practice Location Phone/Fax
| Phone: | 9375593438 |
| Fax: |
Provider Mailing Location
3584 GOLDEN MEADOWS CT
DAYTON
OH
454041437
Provider Mailing Phone/Fax
| Phone: | 9375593438 |
| Fax: |