Individual
ANDRELLE LIGHTBOURNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
182 EVERGREEN DR, WESTBURY, NY 11590-1209
(516) 338-7620
Mailing address
182 EVERGREEN DR, WESTBURY, NY 11590-1209
(516) 338-7620
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
622569
NY
Other
Enumeration date
10/12/2009
Last updated
10/12/2009
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