# L.C. NURSE PRACTITIONER IN ADULT HEALTH SERVICES PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659500270
- **Authorized official:** LORRAINE CALLAS NP (NURSE PRACTITIONER)
- **Authorized official phone:** (631) 830-1364

## Contact information

- **Practice address:** 90 HIDDEN POND PATH, WADING RIVER, NY 11792-2175
- **Practice address phone:** (631) 830-1364
- **Mailing address:** 880 WUNNEWETA RD, CUTCHOGUE, NY 11935-2818
- **Mailing address phone:** (631) 830-1364

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | F303856 | NY | Yes |

## Other

- **Enumeration date:** 07/02/2009
- **Last updated:** 04/27/2018