Cooley, Lacoya

Cooley, Lacoya is an sole proprietor health care provider with primary practice located at 77 Willite Dr , Rochester NY 14621-5123. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Cooley, Lacoya can be contacted via phone (585) 278-4831.

Contact Information

Primary practice address
77 Willite Dr Rochester NY 14621-5123
Phone: (585) 278-4831
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 323924 New York

Profile Details

NPI number 1124499926
LBN Legal business name Cooley, Lacoya
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 19th, 2015
Last updated Aug 25th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124499926 NPPES
New York MEDICAID 201974473

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