Provider Demographics
NPI:1023299641
Name:KLINE, LOIS LAVERNE (RN, CPN)
Entity type:Individual
Prefix:MRS
First Name:LOIS
Middle Name:LAVERNE
Last Name:KLINE
Suffix:
Gender:F
Credentials:RN, CPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9995 SILVERCREEK RD
Mailing Address - Street 2:
Mailing Address - City:WADSWORTH
Mailing Address - State:OH
Mailing Address - Zip Code:44281-9067
Mailing Address - Country:US
Mailing Address - Phone:330-335-8945
Mailing Address - Fax:330-335-8945
Practice Address - Street 1:9995 SILVERCREEK RD
Practice Address - Street 2:
Practice Address - City:WADSWORTH
Practice Address - State:OH
Practice Address - Zip Code:44281-9067
Practice Address - Country:US
Practice Address - Phone:330-335-8945
Practice Address - Fax:330-335-8945
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-26
Last Update Date:2007-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN 285689163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0200XNursing Service ProvidersRegistered NursePediatrics