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Leo Emmitt Bullard JR.
Licensed Practical Nurse in Rochester, New York
NPI 1598125999

Leo Emmitt Bullard JR. is a Licensed Practical Nurse based in Rochester, NY. Leo Emmitt Bullard JR. practices in Rochester, NY. The NPI Number for Leo Emmitt Bullard JR. is 1598125999 and holds a License No. 324913 (New York).

The current practice location address for Leo Emmitt Bullard JR. is 4581 Lake Ave, Rochester, NY and can be reached out via phone at 585-490-6214.

Location: 4581 Lake Ave, Rochester, NY, 14612-4528
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598125999
Provider Name
Leo Emmitt Bullard JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
4581 Lake Ave, Rochester, NY, 14612-4528
Phone Number
585-490-6214
Fax Number
Provider Enumeration Date
02/26/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4581 Lake Ave
City
Rochester
State
New York
Zip
14612-4528
Phone Number
585-490-6214
Fax Number
person
Provider Business Mailing Address Details
Address
4581 Lake Ave
City
Rochester
State
New York
Zip
14612-4528
Phone Number
585-490-6214
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
324913 (New York)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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