Individual
CHRISTINA LEBRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
48 MONTCLAIR DR, SELDEN, NY 11784-1853
(631) 838-7116
Mailing address
48 MONTCLAIR DR, SELDEN, NY 11784-1853
(631) 838-7116
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
303016
NY
Other
Enumeration date
06/18/2019
Last updated
06/18/2019
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