Provider Demographics
NPI:1245595321
Name:CLAR-PRZYSINDA, BARBARA A (LPN)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:A
Last Name:CLAR-PRZYSINDA
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4747 E LAKE RD
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:NY
Mailing Address - Zip Code:14487-9758
Mailing Address - Country:US
Mailing Address - Phone:585-967-4555
Mailing Address - Fax:
Practice Address - Street 1:4747 EAST LAKE RD
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:NY
Practice Address - Zip Code:14487
Practice Address - Country:US
Practice Address - Phone:585-967-4555
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-05
Last Update Date:2012-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY198531164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse