Provider Demographics
NPI:1578272332
Name:LINGNER, MARY FLEMING (RN)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:FLEMING
Last Name:LINGNER
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 1:31 RUTH LN
Mailing Address - Street 2:
Mailing Address - City:RIDGE
Mailing Address - State:NY
Mailing Address - Zip Code:11961-2631
Mailing Address - Country:US
Mailing Address - Phone:631-278-9772
Mailing Address - Fax:
Practice Address - Street 1:39 WALNUT ST
Practice Address - Street 2:
Practice Address - City:WEST HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11552-2026
Practice Address - Country:US
Practice Address - Phone:508-212-3016
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-21
Last Update Date:2022-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY590154163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse