Most Relevant Information
Provider Data
| NPI Number: | 1003065244 |
| Provider Name: | BRANDI LEA ROLLINS LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | PN.104318-IV |
Most Important Dates
| Enumeration Date: | 09/11/2008 |
| Last Updated: | 09/11/2008 |
Provider Practice Location
2288 KILBOURNE AVE
COLUMBUS
OH
432295318
Practice Location Phone/Fax
| Phone: | 6142161012 |
| Fax: |
Provider Mailing Location
2288 KILBOURNE AVE
COLUMBUS
OH
432295318
Provider Mailing Phone/Fax
| Phone: | 6142161012 |
| Fax: |