Individual
MS. LORIANN LOMNICKI GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, NP
Contact information
Practice address
786 MONTAUK HWY, WEST ISLIP, NY 11795-4926
(631) 376-6075
Mailing address
36 WILLOW LN, LINDENHURST, NY 11757-5717
(516) 384-7223
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
435347-1
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
301543
NY
Other
Enumeration date
06/18/2008
Last updated
06/18/2008
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