Individual
ANNA VOUGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
846 ORIOLE LN, LEWISTON, NY 14092-2412
(715) 653-6266
Mailing address
2578 NEW RD, RANSOMVILLE, NY 14131-9622
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
00290964
NY
Other
Enumeration date
02/26/2010
Last updated
02/26/2010
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