DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. JEROME TODD REZAC, LPN

Active Sole Proprietor

MR. JEROME TODD REZAC, LPN is a Licensed Practical Nurse healthcare provider located in ALBERT LEA, Minnesota. NPI 1851600092 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · ALBERT LEA, MN

Registration Details

NPI Number
1851600092
Provider Type
Individual
Gender
Male
NPI Issued
Oct 6, 2010 (15.892095367735 yrs)
Last Updated
Oct 6, 2010
License
L 65492-2 (MN)
Sole Proprietor
Yes

Practice Information

Address
216 E MAIN ST
SUITE 1
ALBERT LEA, MN, 560072919
Browse MN providers · Browse ZIP 56007
Phone
5073734300
Fax
5073734304
Primary Specialty
Licensed Practical Nurse
164W00000X

Other Licensed Practical Nurse Providers in ALBERT LEA, MN

Name Credential NPI
PATTY KAY MADRIGAL 1275902991
TASHA JEAN NIELSEN LPN 1316836307
EMILY SUZANNE HARDISON LPN 1043109036
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.