Individual
ANTOINETTE MARIE LANOUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
333 NY 351, AVERILL PARK, NY 12018-9794
(518) 674-7103
(518) 674-7121
Mailing address
146 GETTLE RD # 1, AVERILL PARK, NY 12018-9794
(518) 674-7068
(518) 674-7121
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
3591951
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01379024
—
NY
Enumeration date
12/28/2011
Last updated
12/28/2011
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