Individual
LAVERN H SIMMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
207 LONG BEACH RD, HEMPSTEAD, NY 11550-7314
(631) 355-1604
Mailing address
207 LONG BEACH RD, HEMPSTEAD, NY 11550-7314
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
635560-1
NY
Other
Enumeration date
10/15/2020
Last updated
10/15/2020
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