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Individual

JACQUELINE ANN LAPE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
61 MONROE ST, ST JOHNSVILLE, NY 13452-1125
(518) 568-2013
(518) 568-3016
Mailing address
61 MONROE ST, ST JOHNSVILLE, NY 13452-1125
(518) 568-2013
(518) 568-3016

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
292962-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01383595
NY
Enumeration date
12/06/2011
Last updated
12/06/2011
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