National Provider Identifier

Marilyn Jane Lates, LPN

Marilyn Jane Lates, LPN is listed in the NPPES registry with a primary specialty of Pediatric Skilled Nursing Facility in Hornell, NY and a listed phone number of (607) 324-5602.

NPI 1205017902Hornell, NYPediatric Skilled Nursing Facility

Profile Overview

NPI
1205017902
Provider Type
Individual
Primary Specialty
Pediatric Skilled Nursing Facility
Enumeration Date
November 21, 2007
Last Updated
November 21, 2007

Practice Location

  • 88 E Main St
  • Hornell, NY 14843-2074

Phone: (607) 324-5602

Specialties

  • Pediatric Skilled Nursing Facility (3140N1450X)
Full Record
NPI
1205017902
Entity Type
Individual
Last Name
Lates
First Name
Marilyn
Middle Name
Jane
Credential
LPN
Mailing Street Address
88 E Main St
Mailing City
Hornell
Mailing State
NY
Mailing ZIP Code
14843-2074
Mailing Country
US
Mailing Phone
(607) 324-5602
Practice Street Address
88 E Main St
Practice City
Hornell
Practice State
NY
Practice ZIP Code
14843-2074
Practice Country
US
Practice Phone
(607) 324-5602
Enumeration Date
November 21, 2007
Last Updated
November 21, 2007
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pediatric Skilled Nursing Facility (3140N1450X)