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Individual

BRITTANY ANNE LALOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
800 COMMUNITY DR STE 206, MANHASSET, NY 11030-3821
(516) 403-9104
Mailing address
23 HILLSDALE LN, CORAM, NY 11727-1819
(631) 880-8037

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
706242
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
F309727-01
NY

Other

Enumeration date
08/11/2020
Last updated
08/11/2020
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