Stathia Lineback, LPN
NPI #1902542681 in Logansport, Indiana
Provider Information
- NPI Number
- 1902542681
- Entity Type
- Individual
- Name
- Stathia Lineback, LPN
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- May 6, 2022
- Last Updated
- May 6, 2022
Practice Location
- Address
- 602 WOODBRIDGE AVE
- City
- Logansport
- State
- Indiana
- ZIP Code
- 46947-1661
- Phone
- (574) 753-3223
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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