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DIANA CHARLENE MACKENZIE LPN

>> Licensed Practical Nurse >> Nursing Service Providers

Registrant NPI Number: 1972542504

Individual Registrant:
 DIANA CHARLENE MACKENZIE LPN
Gender: F

Location and contact information for practice:
620 LANSING STATION RD A3 LANSING, NY 14882-8831 US
Tel: 607-227-6240  Fax: --

Contact information for business:
620 LANSING STATION RD A3 LANSING, NY 14882-8831 US
Tel: 607-227-6240  Fax: --

Registration Information:
NPI: 1972542504
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y164W00000XNursing Service Providers
Licensed Practical Nurse
NY246199-1

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
VD3NY05
02714845NY05




HEALTH CARE JOBS NY - Page 1



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