Individual ProviderLynnetta Maria HollomonLicensed Practical NurseNursing Service ProvidersPractice Address827 Edgecreek Trail, Rochester, NY 14609(585) 429-5159PECOS EnrollmentBased on the most recent information from CMS, provider Lynnetta Maria Hollomon does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:33 PM.Profile DetailsProvider ID1457602930Provider TypeIndividualFull NameHollomon, Lynnetta MariaCredentialLPNGenderFemaleSole ProprietorYesEnumeration Date9/25/2012Last Updated9/25/2012Contact InformationPractice LocationPractice Address827 Edgecreek Trail, Rochester, NY 14609Phone(585) 429-5159FaxUnlisted FaxMailing LocationMailing Address827 Edgecreek Trail, Rochester, NY 14609Phone(585) 429-5159FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode164W00000XPrimaryDescriptionLicensed Practical NurseNursing Service ProvidersLicense218164-1New York