National Provider Identifier

Lareese Wilson Dabielle Wilson, LPN

Lareese Wilson Dabielle Wilson, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Buffalo, NY and a listed phone number of (716) 831-7877.

NPI 1821768227Buffalo, NYLicensed Practical Nurse

Profile Overview

NPI
1821768227
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
September 16, 2021
Last Updated
September 16, 2021

Practice Location

  • 244 Hempstead Ave
  • Buffalo, NY 14215-3404

Phone: (716) 831-7877

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1821768227
Entity Type
Individual
Last Name
Wilson
First Name
Lareese Wilson
Middle Name
Dabielle
Credential
LPN
Mailing Street Address
244 Hempstead Ave
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14215-3404
Mailing Country
US
Mailing Phone
(716) 831-7877
Mailing Fax
(716) 831-8666
Practice Street Address
244 Hempstead Ave
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14215-3404
Practice Country
US
Practice Phone
(716) 831-7877
Practice Fax
(716) 831-8666
Enumeration Date
September 16, 2021
Last Updated
September 16, 2021
Sex
Female
Sole Proprietor
No
Certification Date
September 16, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)