Provider Demographics
NPI:1104166925
Name:HOOK, LATOYA (LPN)
Entity type:Individual
Prefix:
First Name:LATOYA
Middle Name:
Last Name:HOOK
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 1:1655 LOWER BELLBROOK RD
Mailing Address - Street 2:
Mailing Address - City:XENIA
Mailing Address - State:OH
Mailing Address - Zip Code:45385-7321
Mailing Address - Country:US
Mailing Address - Phone:937-270-7186
Mailing Address - Fax:
Practice Address - Street 1:1655 LOWER BELLBROOK RD
Practice Address - Street 2:
Practice Address - City:XENIA
Practice Address - State:OH
Practice Address - Zip Code:45385-7321
Practice Address - Country:US
Practice Address - Phone:937-270-7186
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-15
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH171M00000X
OHPN-133351-M-IV164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No164W00000XNursing Service ProvidersLicensed Practical Nurse