Individual
LORRAINE IVETTE BELEVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
92 DRAKEFORD AVE, NORTH BABYLON, NY 11703-2613
(631) 897-9897
Mailing address
92 DRAKEFORD AVE, NORTH BABYLON, NY 11703-2613
(631) 897-9897
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
30 306534
NY
Other
Enumeration date
11/30/2016
Last updated
11/30/2016
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