Individual
MS. BARBARA JEAN ROOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
52 ALEXANDER ST, LOCKPORT, NY 14094-3207
(716) 434-4174
(716) 434-4174
Mailing address
52 ALEXANDER ST, LOCKPORT, NY 14094-3207
(716) 434-4174
(716) 434-4174
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
202699-1
NY
Other
Enumeration date
05/02/2011
Last updated
05/02/2011
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