Provider Demographics
NPI:1760662969
Name:LEBEL, SUE M (LPN)
Entity type:Individual
Prefix:MS
First Name:SUE
Middle Name:M
Last Name:LEBEL
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:SUZETTE
Other - Middle Name:M
Other - Last Name:LEBEL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:110 NORTHFIELD ST
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:NY
Mailing Address - Zip Code:12401-1906
Mailing Address - Country:US
Mailing Address - Phone:845-340-3344
Mailing Address - Fax:
Practice Address - Street 1:110 NORTHFIELD ST
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:NY
Practice Address - Zip Code:12401-1906
Practice Address - Country:US
Practice Address - Phone:845-340-3344
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-06
Last Update Date:2007-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY187837-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse