Provider Demographics
NPI:1700023173
Name:BURTON, LYNCENT VERONICA (LICENSED PRACTICAL N)
Entity Type:Individual
Prefix:MISS
First Name:LYNCENT
Middle Name:VERONICA
Last Name:BURTON
Suffix:
Gender:F
Credentials:LICENSED PRACTICAL N
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 WEST PROSPECT AVE
Mailing Address - Street 2:SUITE 310 C/O MR C POLE, ABSOLUTE H HEALTHCARE
Mailing Address - City:MOUNT VERNON
Mailing Address - State:NY
Mailing Address - Zip Code:10550
Mailing Address - Country:US
Mailing Address - Phone:914-699-0022
Mailing Address - Fax:914-699-2154
Practice Address - Street 1:9 WEST PROSPECT AVE
Practice Address - Street 2:SUITE 310 C/O MR C POLE, ABSOLUTE H HEALTHCARE
Practice Address - City:MOUNT VERNON
Practice Address - State:NY
Practice Address - Zip Code:10550
Practice Address - Country:US
Practice Address - Phone:914-699-0022
Practice Address - Fax:914-699-2154
Is Sole Proprietor?:No
Enumeration Date:2009-01-07
Last Update Date:2009-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY151023-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse