Individual provider · Type 1 NPI

Shawn Lackens

Registered Nurse · Dayton, OH

NPI number 1104413244 Active

Practice location

4100 W 3rd St
Dayton, OH 45428-9000

Mailing address

2324 Rosina Dr
Miamisburg, OH 45342-6422

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000XRN.387393 (OH)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1104413244

Shawn Lackens's National Provider Identifier is 1104413244, issued on Dec 23, 2020. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Dayton, OH. The record was last updated on Dec 23, 2020.