Unknown Individual – Licensed Practical Nurse, NPI 1720292659

Unknown Individual is a healthcare provider. based in South lebanon, Ohio. specializing in Licensed Practical Nurse. They hold a License No. PN 105714 (OH). The NPI Number for Unknown Individual is 1720292659

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1720292659
Phone
(513) 235-1565
Address
4932 LEBANON RD
Deactivation Date
1 December 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 4932, Lebanon Road, South Lebanon, Hamilton Township, Warren County, Ohio, 45065, United States

    SOUTH LEBANON, OH 450651416

    Phone: (513) 235-1565

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 45065)

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Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1720292659 on file in the registry.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Licensed Practical Nurse. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with South Lebanon?
Public fields place Unknown Individual around South Lebanon, Ohio. Always confirm the exact site before visiting.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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