Individual
LOUREN M GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 NICOLLS RD HSC LEVEL 4 ROOM 120, HSC LEVEL 4 ROOM 120, STONY BROOK, NY 11790
(631) 444-5400
Mailing address
100 NICOLLS RD HSC LEVEL 4 ROOM 120, STONY BROOK, NY 11790-3407
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
307459
NY
Other
Enumeration date
09/04/2017
Last updated
05/15/2018
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