National Provider Identifier

Lacresha Green

Lacresha Green is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 694-6290.

NPI 1023602075Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1023602075
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
February 21, 2021
Last Updated
February 21, 2021

Practice Location

  • 165 Chapin St
  • Rochester, NY 14621-4015

Phone: (585) 694-6290

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1023602075
Entity Type
Individual
Last Name
Green
First Name
Lacresha
Mailing Street Address
165 Chapin St
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14621-4015
Mailing Country
US
Mailing Phone
(585) 694-6290
Practice Street Address
165 Chapin St
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14621-4015
Practice Country
US
Practice Phone
(585) 694-6290
Enumeration Date
February 21, 2021
Last Updated
February 21, 2021
Sex
Female
Sole Proprietor
Yes
Certification Date
February 21, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)