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NPI Code Detail

MEDICARE: DONNA K DEFLIPPO LPN

MEDICARE: DONNA K DEFLIPPO LPN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164W00000XLicensed Practical Nurse068937-1NY

General Provider Information

NPI Number : 1023188356
Entity Type Code : Individual
Provider Name (Legal Business Name) : DONNA K DEFLIPPO LPN
Provider Business Mailing Address
First Line : 266 WESTGATE RD
Second Line :
City : KENMORE
State : NY
Zip : 14217-2210
Country : US
Telephone Number : 716-875-7273
Fax Number :
Provider Business Practice Location Address
First Line : 2250 WEHRLE DR
Second Line :
City : WILLIAMSVILLE
State : NY
Zip : 14221-7037
Country : US
Telephone Number : 716-276-2123
Fax Number : 716-276-2129
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2006
Last Update Date : 07/08/2007

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Directions to “ DONNA K DEFLIPPO LPN” Practice Location

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