Provider Demographics
NPI:1508166141
Name:MASSEY, LATOYA CHEREECE (LPN)
Entity Type:Individual
Prefix:
First Name:LATOYA
Middle Name:CHEREECE
Last Name:MASSEY
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 1:9-6 LA CROIX CT. DRIVE
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14609
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9 LA CROIX CT. DRIVE
Practice Address - Street 2:APARTMENT G
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14609-2898
Practice Address - Country:US
Practice Address - Phone:585-338-7269
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-29
Last Update Date:2010-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY287777164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse