Provider Demographics
NPI:1053592675
Name:LECUYER, NORINE A (REGISTERED NURSE)
Entity type:Individual
Prefix:MS
First Name:NORINE
Middle Name:A
Last Name:LECUYER
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 O' CONNOR ROAD
Mailing Address - Street 2:
Mailing Address - City:OSWEGO
Mailing Address - State:NY
Mailing Address - Zip Code:13126-5850
Mailing Address - Country:US
Mailing Address - Phone:315-342-9897
Mailing Address - Fax:
Practice Address - Street 1:75 O CONNOR ROAD
Practice Address - Street 2:
Practice Address - City:OSWEGO
Practice Address - State:NY
Practice Address - Zip Code:13126-5850
Practice Address - Country:US
Practice Address - Phone:315-342-9897
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-26
Last Update Date:2007-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY578933163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse