Individual
HOLES LORVILON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
140 OLD ORANGEBURG RD STE 6, ORANGEBURG, NY 10962-1196
(845) 680-8600
Mailing address
711 ABBEY LN, VALLEY COTTAGE, NY 10989-1824
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
825629
NY
Other
Enumeration date
06/01/2024
Last updated
06/01/2024
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