Individual
MRS. LISA E MCNAMARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
478 ELWOOD RD, EAST NORTHPORT, NY 11731-4828
(631) 266-5420
(631) 266-5495
Mailing address
18 LORIJEAN LN, EAST NORTHPORT, NY 11731-4011
(631) 266-5420
(631) 266-5495
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
4953411
NY
Other
Enumeration date
10/05/2011
Last updated
10/05/2011
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