Individual
STEPHANIE LUCIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
300 COMMUNITY DR, MANHASSET, NY 11030-3816
(516) 562-0100
Mailing address
2392 OCEAN AVE, RONKONKOMA, NY 11779-6578
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
550840
NY
Other
Enumeration date
07/05/2011
Last updated
07/05/2011
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