National Provider Identifier

Diana Charlene Mackenzie, LPN

Diana Charlene Mackenzie, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Lansing, NY and a listed phone number of (607) 227-6240.

NPI 1972542504Lansing, NYLicensed Practical Nurse

Profile Overview

NPI
1972542504
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
June 06, 2006
Last Updated
July 09, 2007

Practice Location

  • 620 Lansing Station RD
  • A3
  • Lansing, NY 14882-8831

Phone: (607) 227-6240

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1972542504
Entity Type
Individual
Last Name
Mackenzie
First Name
Diana
Middle Name
Charlene
Credential
LPN
Mailing Street Address
620 Lansing Station RD
Mailing Address Line 2
A3
Mailing City
Lansing
Mailing State
NY
Mailing ZIP Code
14882-8831
Mailing Country
US
Mailing Phone
(607) 227-6240
Practice Street Address
620 Lansing Station RD
Practice Address Line 2
A3
Practice City
Lansing
Practice State
NY
Practice ZIP Code
14882-8831
Practice Country
US
Practice Phone
(607) 227-6240
Enumeration Date
June 06, 2006
Last Updated
July 09, 2007
Sex
Female
Sole Proprietor
X
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)
Other Identifiers
02714845 (NY), VD3 (NY)