Provider Demographics
NPI:1669609012
Name:SLEUGH-SHARPE, LAVERN LORRAINE (RN, CRRN)
Entity type:Individual
Prefix:MRS
First Name:LAVERN
Middle Name:LORRAINE
Last Name:SLEUGH-SHARPE
Suffix:
Gender:F
Credentials:RN, CRRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43 RUDMAN ROAD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14622
Mailing Address - Country:US
Mailing Address - Phone:585-388-3734
Mailing Address - Fax:585-342-8457
Practice Address - Street 1:43 RUDMAN ROAD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14622
Practice Address - Country:US
Practice Address - Phone:585-388-3734
Practice Address - Fax:585-342-8457
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-12
Last Update Date:2009-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY514-820-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse