Mackenzie, Diana Charlene

Mackenzie, Diana Charlene is an individual health care provider with primary practice located at 620 Lansing Station Rd A3, Lansing NY 14882-8831. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Mackenzie, Diana Charlene can be contacted via phone (607) 227-6240.

Contact Information

Primary practice address
620 Lansing Station Rd A3 Lansing NY 14882-8831
Phone: (607) 227-6240
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 246199-1 New York

Profile Details

NPI number 1972542504
LBN Legal business name Mackenzie, Diana Charlene
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Jul 9th, 2007 - about 18 years ago

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 1972542504 NPPES
New York MEDICAID 02714845
New York MEDICAID VD3

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