Individual
LORI JEAN CONLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
5316 NESCONSET HWY, PORT JEFFERSON STATION, NY 11776-2591
(316) 897-8006
(631) 751-0506
Mailing address
6 KNOLLWOOD LANE, SMITHTOWN, NY 11787
(631) 543-7813
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F302381
NY
Other
Enumeration date
12/21/2006
Last updated
09/14/2023
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