Individual
NANCY LOPUSNAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
12-13 ELLIS AVE, FAIR LAWN, NJ 07410-1635
(201) 321-8706
Mailing address
8 E 3RD ST, 2ND FLOOR, NEW YORK, NY 10003-8908
(212) 533-8400
(212) 763-0499
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
26NP06947800
NJ
164W00000X
Licensed Practical Nurse
Primary
296054
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26NP06947800
NJ SED
NJ
01
—
296054
NY SED
NY
Enumeration date
08/09/2013
Last updated
08/09/2013
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