Individual
CORINNE LORRAINE LYDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
653 BELMORE AVE, ISLIP TERRACE, NY 11752-2424
(631) 827-4714
Mailing address
653 BELMORE AVE, ISLIP TERRACE, NY 11752-2424
(631) 827-4714
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
675677-1
NY
Other
Enumeration date
07/14/2015
Last updated
07/14/2015
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