Provider Demographics
NPI:1447590690
Name:CORBETT, LUCINDA ELLEN (RN)
Entity Type:Individual
Prefix:MRS
First Name:LUCINDA
Middle Name:ELLEN
Last Name:CORBETT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 PEARL ST W
Mailing Address - Street 2:
Mailing Address - City:SIDNEY
Mailing Address - State:NY
Mailing Address - Zip Code:13838-1427
Mailing Address - Country:US
Mailing Address - Phone:607-563-3055
Mailing Address - Fax:
Practice Address - Street 1:15 PEARL ST E
Practice Address - Street 2:
Practice Address - City:SIDNEY
Practice Address - State:NY
Practice Address - Zip Code:13838-1597
Practice Address - Country:US
Practice Address - Phone:607-561-7705
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-26
Last Update Date:2013-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY464928-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse