Individual
ARIANNA LYSEIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13925 LAKEWOOD AVE, JAMAICA, NY 11435-5223
(718) 607-3114
Mailing address
13925 LAKEWOOD AVE, JAMAICA, NY 11435-5223
(718) 607-3114
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
788500
NY
164W00000X
Licensed Practical Nurse
320195
NY
Other
Enumeration date
10/02/2014
Last updated
10/22/2021
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