Provider Demographics
NPI:1255647020
Name:BLEMLER, JULIE LEE (LPN)
Entity type:Individual
Prefix:MS
First Name:JULIE
Middle Name:LEE
Last Name:BLEMLER
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 1:8905 WILLOWDALE ST
Mailing Address - Street 2:
Mailing Address - City:MAGNOLIA
Mailing Address - State:OH
Mailing Address - Zip Code:44643-9701
Mailing Address - Country:US
Mailing Address - Phone:330-704-9953
Mailing Address - Fax:
Practice Address - Street 1:8905 WILLOWDALE ST
Practice Address - Street 2:
Practice Address - City:MAGNOLIA
Practice Address - State:OH
Practice Address - Zip Code:44643-9701
Practice Address - Country:US
Practice Address - Phone:330-704-9953
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-31
Last Update Date:2010-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN.087821-M-IV164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse