Provider Demographics
NPI:1982903233
Name:MCGREGOR, ELISABETH J (LPN)
Entity Type:Individual
Prefix:MRS
First Name:ELISABETH
Middle Name:J
Last Name:MCGREGOR
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 1:12 WHEELER ST
Mailing Address - Street 2:
Mailing Address - City:COHOCTON
Mailing Address - State:NY
Mailing Address - Zip Code:14826-9634
Mailing Address - Country:US
Mailing Address - Phone:585-694-8600
Mailing Address - Fax:
Practice Address - Street 1:12 WHEELER ST
Practice Address - Street 2:
Practice Address - City:COHOCTON
Practice Address - State:NY
Practice Address - Zip Code:14826-9634
Practice Address - Country:US
Practice Address - Phone:585-694-8600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-24
Last Update Date:2011-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY294215-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse