Provider Demographics
NPI:1386879930
Name:LOFTIN, DONNA ELAINE (LPN)
Entity type:Individual
Prefix:MISS
First Name:DONNA
Middle Name:ELAINE
Last Name:LOFTIN
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 1:543 RAVINE VIEW DR
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44303-1623
Mailing Address - Country:US
Mailing Address - Phone:330-869-6019
Mailing Address - Fax:
Practice Address - Street 1:543 RAVINE VIEW DR
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44303-1623
Practice Address - Country:US
Practice Address - Phone:330-869-6019
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-27
Last Update Date:2009-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH111338164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse