Individual
MS. LAUREN OLIVIERI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
18 FAIRWAY DR, PORT JEFFERSON STATION, NY 11776-3604
(631) 428-3698
Mailing address
18 FAIRWAY DR, PORT JEFFERSON STATION, NY 11776-3604
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
325808
NY
Other
Enumeration date
03/30/2017
Last updated
03/30/2017
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