Individual
BARBARA JEAN ALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
354 BREMM RD, LACONA, NY 13083-3127
(315) 387-6238
Mailing address
354 BREMM RD, P.O. BOX 148, LACONA, NY 13083-3127
(315) 387-6238
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
237214
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02134774
—
NY
Enumeration date
09/25/2006
Last updated
07/09/2007
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