Provider Demographics
NPI:1215260724
Name:HOCKEY, LEIGH ANN (LPN)
Entity type:Individual
Prefix:MS
First Name:LEIGH
Middle Name:ANN
Last Name:HOCKEY
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 1:3811 FEDERAL RD
Mailing Address - Street 2:APT C
Mailing Address - City:LIVONIA
Mailing Address - State:NY
Mailing Address - Zip Code:14487-9512
Mailing Address - Country:US
Mailing Address - Phone:585-764-7401
Mailing Address - Fax:
Practice Address - Street 1:3811 FEDERAL RD
Practice Address - Street 2:APT C
Practice Address - City:LIVONIA
Practice Address - State:NY
Practice Address - Zip Code:14487-9512
Practice Address - Country:US
Practice Address - Phone:585-764-7401
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-15
Last Update Date:2009-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY285961-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse