SHAWN LACKENS

DAYTON, OH
NPI1104413244
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: OH  RN.387393)
Enumeration Date2020-12-23
Last Update Date2020-12-23
Business Address
SHAWN LACKENS
4100 W 3RD ST
DAYTON, OH 45428-9000
Phone number: 937-268-6511
Mailing Address
SHAWN LACKENS
2324 ROSINA DR
MIAMISBURG, OH 45342-6422
Phone number: 937-231-9258
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