National Provider Identifier

Traci Lynn Meacham, LPN

Traci Lynn Meacham, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 785-3014.

NPI 1093376949Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1093376949
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
June 21, 2019
Last Updated
June 21, 2019

Practice Location

  • 28 Georgetown Dr Apt A
  • Rochester, NY 14617-5328

Phone: (585) 785-3014

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1093376949
Entity Type
Individual
Last Name
Meacham
First Name
Traci
Middle Name
Lynn
Credential
LPN
Mailing Street Address
28 Georgetown Dr Apt A
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14617-5328
Mailing Country
US
Mailing Phone
(585) 785-3014
Practice Street Address
28 Georgetown Dr Apt A
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14617-5328
Practice Country
US
Practice Phone
(585) 785-3014
Enumeration Date
June 21, 2019
Last Updated
June 21, 2019
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)