Provider Demographics
NPI:1194027995
Name:LENDON, VIRGINIA JEANNE (LPN)
Entity type:Individual
Prefix:MS
First Name:VIRGINIA
Middle Name:JEANNE
Last Name:LENDON
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 1:217 MINNICH AVE NE
Mailing Address - Street 2:
Mailing Address - City:NEW PHILADELPHIA
Mailing Address - State:OH
Mailing Address - Zip Code:44663-2755
Mailing Address - Country:US
Mailing Address - Phone:330-401-7478
Mailing Address - Fax:
Practice Address - Street 1:217 MINNICH AVE NE
Practice Address - Street 2:
Practice Address - City:NEW PHILADELPHIA
Practice Address - State:OH
Practice Address - Zip Code:44663-2755
Practice Address - Country:US
Practice Address - Phone:330-401-7478
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-30
Last Update Date:2010-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN-097264164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse