Individual
DR. LUCILLE KATHERINE THALMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3 VIEW RD, SETAUKET, NY 11733-3040
(631) 751-1038
Mailing address
3 VIEW RD, SETAUKET, NY 11733-3040
(631) 751-1038
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
301580
NY
Other
Enumeration date
07/08/2010
Last updated
07/08/2010
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