Provider Demographics
NPI:1528282886
Name:SIGLER, LATOYA REJEAN (LPN)
Entity type:Individual
Prefix:
First Name:LATOYA
Middle Name:REJEAN
Last Name:SIGLER
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 1:101 CAMP AVE
Mailing Address - Street 2:APT.C
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13207-2207
Mailing Address - Country:US
Mailing Address - Phone:315-492-3971
Mailing Address - Fax:
Practice Address - Street 1:5825 INDEPENDENCE DR
Practice Address - Street 2:
Practice Address - City:JAMESVILLE
Practice Address - State:NY
Practice Address - Zip Code:13078-9575
Practice Address - Country:US
Practice Address - Phone:315-492-2181
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY10-270514164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse