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Individual
LORRAINE ANN BUSHNELL
Active
Individual
LORRAINE ANN BUSHNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
314265
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01420800
—
NY
Enumeration date
06/10/2019
Last updated
06/10/2019
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