Provider Demographics
NPI:1457782435
Name:SCHOBER, GEOFFERY-LYNNE ELIZABETH
Entity type:Individual
Prefix:MRS
First Name:GEOFFERY-LYNNE
Middle Name:ELIZABETH
Last Name:SCHOBER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10492 DOWLING RD
Mailing Address - Street 2:
Mailing Address - City:PERRYSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43551-9625
Mailing Address - Country:US
Mailing Address - Phone:419-392-2714
Mailing Address - Fax:
Practice Address - Street 1:10492 DOWLING RD
Practice Address - Street 2:
Practice Address - City:PEERYSBURG
Practice Address - State:OH
Practice Address - Zip Code:43551
Practice Address - Country:US
Practice Address - Phone:419-392-2714
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-02
Last Update Date:2013-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN117619164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse