Lagina Green

NPI 1720499015 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1720499015
Gender Female
Enumeration Date 05/08/2014
Last Updated 05/08/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
83 SAINT STANISLAUS ST
ROCHESTER NY, 14621-3713, US
Phone (585) 576-6542
Fax
Business Location
83 SAINT STANISLAUS ST
ROCHESTER NY, 14621-3713, US
Phone
Fax
Toxanomy
Taxonomy Code 164W00000X
License State New York
License Number 273813
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According to our database, Lagina Green NPI is 1720499015, taxonomy code is 164W00000X and license number is 273813, license state is located at New York. Lagina Green physically located at 83 Saint Stanislaus St, Rochester NY, 14621-3713. NPI Number Lagina Green has the Individual type.

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1720499015 NPI number is provided on an as is basis without warranty of any kind. 1720499015 is maintained by the National Plan & Provider Enumeration System. The contents of Lagina Green are for informational purposes only.