Most Relevant Information
Provider Data
| NPI Number: | 1003528761 |
| Provider Name: | JANSSEN MILORD LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | LPN.180176.MEDS-IV |
Most Important Dates
| Enumeration Date: | 12/14/2022 |
| Last Updated: | 12/14/2022 |
Provider Practice Location
6391 WELLDON CT
REYNOLDSBURG
OH
430683564
Practice Location Phone/Fax
| Phone: | 6465810769 |
| Fax: |
Provider Mailing Location
6391 WELLDON CT
REYNOLDSBURG
OH
430683564
Provider Mailing Phone/Fax
| Phone: | 6465810769 |
| Fax: |