Provider Demographics
NPI:1881243343
Name:FISCAL, KARLA (LPN)
Entity type:Individual
Prefix:
First Name:KARLA
Middle Name:
Last Name:FISCAL
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:KARLA
Other - Middle Name:
Other - Last Name:FISCAL-AGUIRRE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:570 N BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:OH
Mailing Address - Zip Code:45036-1735
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7644 HEDGEWOOD CIR
Practice Address - Street 2:
Practice Address - City:MASON
Practice Address - State:OH
Practice Address - Zip Code:45040-7034
Practice Address - Country:US
Practice Address - Phone:513-850-9692
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-08
Last Update Date:2019-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLPN.152651.MEDS-IV164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse