Individual
LISA ANN KUVEIKIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3 CAYLA LN, PORT JEFFERSON STATION, NY 11776-4256
(516) 526-5058
Mailing address
3 CAYLA LN, PORT JEFFERSON STATION, NY 11776-4256
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F309242-01
NY
Other
Enumeration date
08/29/2019
Last updated
08/29/2019
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