Provider Demographics
NPI:1740759216
Name:RIGABAR, LYNNE SUSAN (RN)
Entity Type:Individual
Prefix:MS
First Name:LYNNE
Middle Name:SUSAN
Last Name:RIGABAR
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:LYNNE
Other - Middle Name:SUSAN
Other - Last Name:ELLINGSWORTH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1237 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:WATERTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:13601-4350
Mailing Address - Country:US
Mailing Address - Phone:315-785-3827
Mailing Address - Fax:315-661-8000
Practice Address - Street 1:1237 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:WATERTOWN
Practice Address - State:NY
Practice Address - Zip Code:13601-4350
Practice Address - Country:US
Practice Address - Phone:315-785-3827
Practice Address - Fax:315-661-8000
Is Sole Proprietor?:No
Enumeration Date:2018-11-14
Last Update Date:2018-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY610767163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool