Provider Demographics
NPI:1255880605
Name:RANK, LYDIA KAY (LPN)
Entity type:Individual
Prefix:MRS
First Name:LYDIA
Middle Name:KAY
Last Name:RANK
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 1:2 ORCHARD LN
Mailing Address - Street 2:
Mailing Address - City:PENN YAN
Mailing Address - State:NY
Mailing Address - Zip Code:14527-9511
Mailing Address - Country:US
Mailing Address - Phone:716-930-2800
Mailing Address - Fax:
Practice Address - Street 1:2 ORCHARD LN
Practice Address - Street 2:
Practice Address - City:PENN YAN
Practice Address - State:NY
Practice Address - Zip Code:14527-9511
Practice Address - Country:US
Practice Address - Phone:716-930-2800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-27
Last Update Date:2016-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY320234-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse