Linda Lee Prough, LPN is a
Licensed Vocational Nurse based in Cocoa, Florida. Linda Lee Prough is licensed to practice in Florida (license number PN1228881) and her current practice location is
3905 Grissom Pkwy, Cocoa, Florida. She can be reached at her office (for appointments etc.) via phone at
(321) 637-1866.
NPI number for Linda Lee Prough is 1124176573 and her current mailing address is 4920 Cangro St, Cocoa, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1124176573.
Provider's Profile
| Full Name | Linda Lee Prough |
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| Gender | Female |
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| Speciality | Licensed Vocational Nurse |
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| Location | 3905 Grissom Pkwy, Cocoa, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1124176573
- Provider Enumeration Date: 01/08/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Linda Lee Prough such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124176573 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164X00000X | Licensed Vocational Nurse | PN1228881 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Linda Lee Prough is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Linda Lee Prough, LPN
4920 Cangro St,
Cocoa, FL 32926-2227
Ph: (321) 639-0929 | Linda Lee Prough, LPN
3905 Grissom Pkwy,
Cocoa, FL 32926-3669
Ph: (321) 637-1866 |
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