Individual
LISA RAYNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
161 LINCOLN RD, FRANKLIN SQUARE, NY 11010-3806
(516) 502-4758
Mailing address
161 LINCOLN RD, FRANKLIN SQUARE, NY 11010-3806
(516) 502-4758
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
653765
NY
Other
Enumeration date
03/07/2012
Last updated
03/07/2012
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