Individual
LUCY MARIE PENQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3700 LOWER MOUNTAIN RD, SANBORN, NY 14132-9115
(716) 426-5410
Mailing address
3700 LOWER MOUNTAIN RD, SANBORN, NY 14132-9115
(716) 426-5410
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
894472
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06186685
—
NY
Enumeration date
11/30/2017
Last updated
12/19/2023
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