National Provider Identifier
Lisa Yvonne Crandall, LPN
Lisa Yvonne Crandall, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Wellsville, NY and a listed phone number of (585) 808-4750.
Profile Overview
- NPI
- 1437478104
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- May 20, 2010
- Last Updated
- May 20, 2010
Practice Location
- 2129 State Route 19
- Park 2 Lot 49
- Wellsville, NY 14895-9420
Phone: (585) 808-4750
Mailing Address
- 4388 County Road 16
- Angelica, NY 14709-8705
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1437478104
- Entity Type
- Individual
- Last Name
- Crandall
- First Name
- Lisa
- Middle Name
- Yvonne
- Credential
- LPN
- Mailing Street Address
- 4388 County Road 16
- Mailing City
- Angelica
- Mailing State
- NY
- Mailing ZIP Code
- 14709-8705
- Mailing Country
- US
- Mailing Phone
- (585) 808-9657
- Practice Street Address
- 2129 State Route 19
- Practice Address Line 2
- Park 2 Lot 49
- Practice City
- Wellsville
- Practice State
- NY
- Practice ZIP Code
- 14895-9420
- Practice Country
- US
- Practice Phone
- (585) 808-4750
- Enumeration Date
- May 20, 2010
- Last Updated
- May 20, 2010
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)