Individual
DIANA LAVEGLIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
803 GRANT AVE, LAKE KATRINE, NY 12449-5352
(845) 331-5064
Mailing address
803 GRANT AVE, LAKE KATRINE, NY 12449-5352
(845) 331-5064
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
443825-1
NY
Other
Enumeration date
02/18/2016
Last updated
02/18/2016
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