Individual
LOU ANN MACCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
726 E MAIN ST, MIDDLETOWN, NY 10940-2653
(845) 342-1661
Mailing address
726 E MAIN ST, MIDDLETOWN, NY 10940-2653
(845) 342-1661
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
286375
NY
Other
Enumeration date
03/25/2010
Last updated
03/25/2010
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