National Provider Identifier

David Richard Stalker, LPN

David Richard Stalker, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Lyons, NY and a listed phone number of (315) 946-5673.

NPI 1689827289Lyons, NYLicensed Practical Nurse

Profile Overview

NPI
1689827289
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
October 28, 2008
Last Updated
October 28, 2008

Practice Location

  • 1529 Nye RD
  • Lyons, NY 14489-9111

Phone: (315) 946-5673

Mailing Address

  • 3241 Walworth RD
  • Walworth, NY 14568-9612

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1689827289
Entity Type
Individual
Last Name
Stalker
First Name
David
Middle Name
Richard
Name Prefix
Mr.
Credential
LPN
Mailing Street Address
3241 Walworth RD
Mailing City
Walworth
Mailing State
NY
Mailing ZIP Code
14568-9612
Mailing Country
US
Mailing Phone
(315) 597-6961
Mailing Fax
(315) 597-6961
Practice Street Address
1529 Nye RD
Practice City
Lyons
Practice State
NY
Practice ZIP Code
14489-9111
Practice Country
US
Practice Phone
(315) 946-5673
Practice Fax
(315) 946-5671
Enumeration Date
October 28, 2008
Last Updated
October 28, 2008
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)