MEDICARE: LEKEAKA FOLEFOCK 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
1	163WP0809X	Adult Psychiatric/Mental Health Registered Nurse	731854	NY
2	164W00000X	Licensed Practical Nurse	731854	NY

General Provider Information

NPI Number	:	1972874691
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEKEAKA FOLEFOCK LPN

Provider Business Mailing Address
First Line	:	3023 MOLLY PITCHER DR
Second Line	:
City	:	NEW WINDSOR
State	:	NY
Zip	:	12553-6163
Country	:	US
Telephone Number	:	917-573-2203
Fax Number	:

Provider Business Practice Location Address
First Line	:	3023 MOLLY PITCHER DR
Second Line	:
City	:	NEW WINDSOR
State	:	NY
Zip	:	12553-6163
Country	:	US
Telephone Number	:	917-573-2203
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/26/2012
Last Update Date	:	05/06/2024

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