National Provider Identifier
Lisa A Wellington, LPN
Lisa A Wellington, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Arkport, NY and a listed phone number of (607) 382-5200.
Profile Overview
- NPI
- 1174824171
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- November 06, 2010
- Last Updated
- November 13, 2010
Practice Location
- 9632 Willey RD
- Arkport, NY 14807-9320
Phone: (607) 382-5200
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1174824171
- Entity Type
- Individual
- Last Name
- Wellington
- First Name
- Lisa
- Middle Name
- A
- Name Prefix
- MS.
- Credential
- LPN
- Provider Other Last Name
- Mazuchowski
- Provider Other First Name
- Lisa
- Provider Other Middle Name
- A
- Provider Other Name Prefix Text
- MS.
- Provider Other Credential Text
- LPN
- Provider Other Last Name Type Code
- 5
- Mailing Street Address
- 9632 Willey RD
- Mailing City
- Arkport
- Mailing State
- NY
- Mailing ZIP Code
- 14807-9320
- Mailing Country
- US
- Mailing Phone
- (607) 382-5200
- Practice Street Address
- 9632 Willey RD
- Practice City
- Arkport
- Practice State
- NY
- Practice ZIP Code
- 14807-9320
- Practice Country
- US
- Practice Phone
- (607) 382-5200
- Enumeration Date
- November 06, 2010
- Last Updated
- November 13, 2010
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)