Provider Demographics
NPI:1447501481
Name:SAJEWSKI, LINDA LEE (LPN)
Entity type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:LEE
Last Name:SAJEWSKI
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7622 HOLLY DR
Mailing Address - Street 2:
Mailing Address - City:MENTOR ON THE LAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44060-3221
Mailing Address - Country:US
Mailing Address - Phone:440-339-9646
Mailing Address - Fax:
Practice Address - Street 1:7622 HOLLY DR
Practice Address - Street 2:
Practice Address - City:MENTOR ON THE LAKE
Practice Address - State:OH
Practice Address - Zip Code:44060-3221
Practice Address - Country:US
Practice Address - Phone:440-339-9646
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-01
Last Update Date:2012-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN097105-M-IV164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHPN097105-M-IVOtherOHIO BOARD OF NURSING