National Provider Identifier

Lakeaya Shaniece Hartzog, REGISTERED NURSE

Lakeaya Shaniece Hartzog, REGISTERED NURSE is listed in the NPPES registry with a primary specialty of Registered Nurse in Rochester, NY and a listed phone number of (585) 309-3848.

NPI 1225399280Rochester, NYRegistered Nurse

Profile Overview

NPI
1225399280
Provider Type
Individual
Primary Specialty
Registered Nurse
Enumeration Date
June 06, 2012
Last Updated
February 05, 2020

Practice Location

  • 61 Claybrook St
  • Rochester, NY 14609-3716

Phone: (585) 309-3848

Specialties

  • Registered Nurse (163W00000X)
Full Record
NPI
1225399280
Entity Type
Individual
Last Name
Hartzog
First Name
Lakeaya
Middle Name
Shaniece
Credential
REGISTERED NURSE
Mailing Street Address
61 Claybrook St
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14609-3716
Mailing Country
US
Mailing Phone
(585) 309-3848
Practice Street Address
61 Claybrook St
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14609-3716
Practice Country
US
Practice Phone
(585) 309-3848
Enumeration Date
June 06, 2012
Last Updated
February 05, 2020
Sex
Female
Sole Proprietor
Yes
Certification Date
February 05, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Registered Nurse (163W00000X)