Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAM CARROLL, LPN
Active Sole ProprietorSAM CARROLL, LPN is a Licensed Vocational Nurse healthcare provider located in LAKEWOOD, Ohio. NPI 1811216138 is currently active in the NPPES registry. Verify at CMS.
Licensed Vocational Nurse · LAKEWOOD, OH
Registration Details
- NPI Number
- 1811216138
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 26, 2010 (16.036898053958 yrs)
- Last Updated
- May 26, 2010
- License
-
PN091042 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
12047 LAKE AVELAKEWOOD, OH, 441071891Browse OH providers · Browse ZIP 44107
- Phone
- 2162280158
- Primary Specialty
-
Licensed Vocational Nurse
164X00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.