Provider Demographics
NPI:1720339161
Name:HIGHTOWER, LEE ANNA J (LPN)
Entity type:Individual
Prefix:
First Name:LEE ANNA
Middle Name:J
Last Name:HIGHTOWER
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 1:608 SUNSET AVE
Mailing Address - Street 2:
Mailing Address - City:WHEELERSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:45694-9216
Mailing Address - Country:US
Mailing Address - Phone:740-876-8038
Mailing Address - Fax:
Practice Address - Street 1:608 SUNSET AVE
Practice Address - Street 2:
Practice Address - City:WHEELERSBURG
Practice Address - State:OH
Practice Address - Zip Code:45694-9216
Practice Address - Country:US
Practice Address - Phone:740-876-8038
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-25
Last Update Date:2012-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH145454164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse