Marie Evelyn Larue LPN

NPI 1619166956 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1619166956
Gender Female
Enumeration Date 10/23/2007
Last Updated 10/23/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
29244 ROGERS ROAD
REDWOOD NY, 13679, US
Phone (315) 482-3376
Fax
Business Location
PO BOX 627
29244 ROGERS ROAD
REDWOOD NY, 13679, US
Phone (315) 482-3376
Fax
Toxanomy
Taxonomy Code 164W00000X
License State New York
License Number 2020961
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According to our database, Mrs. Marie Evelyn Larue LPN NPI is 1619166956, taxonomy code is 164W00000X and license number is 2020961, license state is located at New York. Marie Evelyn Larue LPN physically located at 29244 Rogers Road, Redwood NY, 13679. NPI Number Marie Evelyn Larue LPN has the Individual type.

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1619166956 NPI number is provided on an as is basis without warranty of any kind. 1619166956 is maintained by the National Plan & Provider Enumeration System. The contents of Marie Evelyn Larue LPN are for informational purposes only.