Individual provider · Type 1 NPI

Keisha Larone Mack, LPN

Licensed Practical Nurse · Blacklick, OH

NPI number 1841478112 Active

Practice location

8137 Equitana Way
Blacklick, OH 43004-9148

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X128860 (OH)

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 1841478112

Keisha Larone Mack, LPN's National Provider Identifier is 1841478112, issued on Feb 8, 2008. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Blacklick, OH. The record was last updated on Feb 8, 2008.