Individual
LEANA PROKOSHEV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6025 RAYMOND RD, LOCKPORT, NY 14094-9502
(585) 857-7916
Mailing address
6025 RAYMOND RD, LOCKPORT, NY 14094-9502
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
72200901
NY
Other
Enumeration date
11/08/2019
Last updated
11/08/2019
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