IndividualActive
Lacosta Mendoza
NPI 1912755133 · Medical-Surgical Registered Nurse · Van Wert, OH
Provider details
- NPI number
- 1912755133
- Entity type
- Individual
- Primary specialty
- Medical-Surgical Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- RN.461738 (OH)
Specialties & taxonomies
Nursing Service Providers
Practice location
208 Wassenberg Dr
Van Wert, OH 45891-2358
Phone: (260) 416-4223
Approximate (ZIP-level) locationGet directions
Mailing address
208 Wassenberg Dr
Van Wert, OH 45891-2358
Registry dates
- Enumerated
- 2024-05-13
- Last updated
- 2024-05-13
- Certified
- 2024-05-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.