Individual
MRS. ANGELA JEAN LAVENTURE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
6270 FOUNDRY ROAD, GUILDERLAND, NY 12084
(518) 452-1270
Mailing address
331 TERRACE ROAD, SCHENECTADY, NY 12306
(518) 382-1644
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
274965
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02501417
—
NY
Enumeration date
01/28/2008
Last updated
01/28/2008
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