Provider Demographics
NPI:1831491240
Name:LIVINGSTON, ROBIN RENEE (LPN)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:RENEE
Last Name:LIVINGSTON
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 1:11090 COUNTY ROAD 16
Mailing Address - Street 2:
Mailing Address - City:DALTON
Mailing Address - State:NY
Mailing Address - Zip Code:14836-9622
Mailing Address - Country:US
Mailing Address - Phone:585-476-2392
Mailing Address - Fax:
Practice Address - Street 1:11090 COUNTY ROAD 16
Practice Address - Street 2:
Practice Address - City:DALTON
Practice Address - State:NY
Practice Address - Zip Code:14836-9622
Practice Address - Country:US
Practice Address - Phone:585-476-2392
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-18
Last Update Date:2010-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY303804164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse