Lucy Mae Bucknam LPN

NPI 1134351638 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1134351638
Gender Female
Enumeration Date 08/17/2009
Last Updated 08/17/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
6730 E LAKE RD
APT.B
CASTILE NY, 14427-9561, US
Phone (585) 237-3661
Fax
Business Location
6730 E LAKE RD
APT.B
CASTILE NY, 14427-9561, US
Phone (585) 237-3661
Fax
Toxanomy
Taxonomy Code 164W00000X
License State New York
License Number 286064-1
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According to our database, Mrs. Lucy Mae Bucknam LPN NPI is 1134351638, taxonomy code is 164W00000X and license number is 286064-1, license state is located at New York. Lucy Mae Bucknam LPN physically located at 6730 E Lake Rd, Castile NY, 14427-9561. NPI Number Lucy Mae Bucknam LPN has the Individual type.

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1134351638 NPI number is provided on an as is basis without warranty of any kind. 1134351638 is maintained by the National Plan & Provider Enumeration System. The contents of Lucy Mae Bucknam LPN are for informational purposes only.