Individual
LANA AUGUSTUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3210 RESTON DR, BALDWINSVILLE, NY 13027-1729
(937) 308-6020
Mailing address
3210 RESTON DR, BALDWINSVILLE, NY 13027-1729
(937) 308-6020
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
686805-1
NY
Other
Enumeration date
12/04/2014
Last updated
12/04/2014
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