Individual
LISA MARIE LAPOLLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
107 WILLIAMSON ST, EAST ROCKAWAY, NY 11518-2035
(347) 244-0888
Mailing address
107 WILLIAMSON ST, EAST ROCKAWAY, NY 11518-2035
(347) 244-0888
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/22/2021
Last updated
04/23/2021
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