National Provider Identifier
Debra Lynn Mattoon, LPN
Debra Lynn Mattoon, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Medina, NY and a listed phone number of (585) 590-6859.
Profile Overview
- NPI
- 1083919112
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- January 20, 2011
- Last Updated
- January 20, 2011
Practice Location
- 207 South Ave
- Medina, NY 14103-1541
Phone: (585) 590-6859
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1083919112
- Entity Type
- Individual
- Last Name
- Mattoon
- First Name
- Debra
- Middle Name
- Lynn
- Credential
- LPN
- Mailing Street Address
- 207 South Ave
- Mailing City
- Medina
- Mailing State
- NY
- Mailing ZIP Code
- 14103-1541
- Mailing Country
- US
- Mailing Phone
- (585) 590-6859
- Practice Street Address
- 207 South Ave
- Practice City
- Medina
- Practice State
- NY
- Practice ZIP Code
- 14103-1541
- Practice Country
- US
- Practice Phone
- (585) 590-6859
- Enumeration Date
- January 20, 2011
- Last Updated
- January 20, 2011
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)