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Individual

MRS. LAVERNE LIZA GIACCONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BSN MA NCSN

Contact information

Practice address
1 PAT LYNN DRIVE, DOVER HIGH SCHOOL, DOVER, DE 19904
(302) 672-1535
(302) 672-1565
Mailing address
181 RIDGEWOOD DRIVE, CAMDEN WYOMING, DE 19934
(302) 698-1019

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
L10011864
DE

Other

Enumeration date
02/05/2007
Last updated
07/08/2007
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