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LYNEAH TART LPN
>> Licensed Practical Nurse >> Nursing Service ProvidersRegistrant NPI Number: 1073789566
Individual Registrant: LYNEAH TART LPN
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
147 JOHN ST APT 1 E KINGSTON, NY 12401 US
Tel: 845-706-2078 Fax: 845-336-8848
Tel: 845-706-2078 Fax: 845-336-8848
Contact information for business:
147 JOHN ST APT 1 E KINGSTON, NY 12401 US
Tel: 845-706-2078 Fax: 845-336-8848
Tel: 845-706-2078 Fax: 845-336-8848
Registration Information:
NPI: 1073789566
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 164W00000X | Nursing Service Providers Licensed Practical Nurse | NY | 272607-1 |
| N | 164W00000X | Nursing Service Providers Licensed Practical Nurse | FL | PN 5162685 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
