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Organization
L.C. NURSE PRACTITIONER IN ADULT HEALTH SERVICES PLLC
Active
Organization
L.C. NURSE PRACTITIONER IN ADULT HEALTH SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORRAINE CALLAS NP (NURSE PRACTITIONER)
(631) 830-1364
Entity
Organization
Contact information
Practice address
90 HIDDEN POND PATH, WADING RIVER, NY 11792-2175
(631) 830-1364
Mailing address
880 WUNNEWETA RD, CUTCHOGUE, NY 11935-2818
(631) 830-1364
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F303856
NY
Other
Enumeration date
07/02/2009
Last updated
04/27/2018
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