Individual provider · Type 1 NPI

Leddataliz Pedrogo, LPN

Licensed Practical Nurse · Lake Wales, FL

NPI number 1396011748 Active

Practice location

4762 Breezer Dr
Lake Wales, FL 33859-5447

Mailing address

1615 Ellington Dr
Dundee, FL 33838-4633

Specialties and licenses

TaxonomyCodeLicense
Respite Care 385H00000XPN5198865 (FL)
Child Mental Illness Respite Care 385HR2055XPN5198865 (FL)
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060XPN5198865 (FL)
Child Physical Disabilities Respite Care 385HR2065XPN5198865 (FL)
Licensed Practical Nurse Primary 164W00000XPN5198865 (FL)
Home Health Agency 251E00000XPN5198865 (FL)
Nursing Care Agency 251J00000XPN5198865 (FL)
Developmental Disabilities Clinic/Center 261QD1600XPN5198865 (FL)
Adult Companion 372600000XPN5198865 (FL)
Nurse's Aide 376K00000XPN5198865 (FL)

Licensed Practical Nurse: 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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About NPI 1396011748

Leddataliz Pedrogo, LPN's National Provider Identifier is 1396011748, issued on Mar 30, 2012. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Lake Wales, FL. The record was last updated on Jul 21, 2022.