Provider Demographics
NPI:1902676778
Name:KRILL, LONA
Entity Type:Individual
Prefix:
First Name:LONA
Middle Name:
Last Name:KRILL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1146 COUNTY ROAD 13
Mailing Address - Street 2:
Mailing Address - City:BRYAN
Mailing Address - State:OH
Mailing Address - Zip Code:43506-9739
Mailing Address - Country:US
Mailing Address - Phone:419-630-5223
Mailing Address - Fax:
Practice Address - Street 1:1146 COUNTY ROAD 13
Practice Address - Street 2:
Practice Address - City:BRYAN
Practice Address - State:OH
Practice Address - Zip Code:43506-9739
Practice Address - Country:US
Practice Address - Phone:419-630-5223
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-03
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty