Organization
L.C. NURSE PRACTITIONER IN ADULT HEALTH SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORRAINE CALLAS NP (NURSE PRACTITIONER)
(631) 830-1364
Entity
Organization
Contact information
Practice address
90 HIDDEN POND PATH, WADING RIVER, NY 11792-2175
(631) 830-1364
Mailing address
880 WUNNEWETA RD, CUTCHOGUE, NY 11935-2818
(631) 830-1364
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F303856
NY
Other
Enumeration date
07/02/2009
Last updated
04/27/2018
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