Provider Demographics
NPI:1871766378
Name:LINGHAM, NOREEN M (RN)
Entity type:Individual
Prefix:MRS
First Name:NOREEN
Middle Name:M
Last Name:LINGHAM
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:74 KUHL AVE
Mailing Address - Street 2:
Mailing Address - City:HICKSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11801-2459
Mailing Address - Country:US
Mailing Address - Phone:516-724-2984
Mailing Address - Fax:
Practice Address - Street 1:74 KUHL AVE
Practice Address - Street 2:
Practice Address - City:HICKSVILLE
Practice Address - State:NY
Practice Address - Zip Code:11801-2459
Practice Address - Country:US
Practice Address - Phone:516-724-2984
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-07
Last Update Date:2008-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY456687163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse