Individual
MRS. CATHERINE FRANCIS LAGRUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
13 OCEAN AVE, HAMPTON BAYS, NY 11946-2322
(631) 728-3564
Mailing address
13 OCEAN AVE, HAMPTON BAYS, NY 11946-2322
(631) 728-3564
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
117977
NY
Other
Enumeration date
08/06/2007
Last updated
08/06/2007
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