Individual
CHRISTY BASLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4308 LYONS FALLS RD, LYONS FALLS, NY 13368-2111
(315) 525-5334
Mailing address
4308 LYONS FALLS RD, LYONS FALLS, NY 13368-2111
(315) 525-5334
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
210604
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
210604
OFFICE OF PROFESSIONS
NY
Enumeration date
08/17/2022
Last updated
08/17/2022
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