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Stathia Lineback, LPN
Licensed Practical Nurse in Logansport, Indiana
NPI 1902542681

Stathia Lineback is a Licensed Practical Nurse based in Logansport, IN. Stathia Lineback practices in Logansport, IN and has the professional credentials of LPN. The NPI Number for Stathia Lineback is 1902542681 and holds a License No. 27072417A (Indiana).

The current practice location address for Stathia Lineback is 602 Woodbridge Ave, Logansport, IN and can be reached out via phone at 574-753-3223 and via fax at 574-722-9097.

Location: 602 Woodbridge Ave, Logansport, IN, 46947-6695
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902542681
Provider Name
Stathia Lineback
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
602 Woodbridge Ave, Logansport, IN, 46947-6695
Phone Number
574-753-3223
Fax Number
574-722-9097
Provider Enumeration Date
05/06/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
602 Woodbridge Ave
City
Logansport
State
Indiana
Zip
46947-1661
Phone Number
574-753-3223
Fax Number
574-722-9097
person
Provider Business Mailing Address Details
Address
602 Woodbridge Ave
City
Logansport
State
Indiana
Zip
46947-1661
Phone Number
574-753-3223
Fax Number
574-722-9097
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
27072417A (Indiana)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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