Individual
LANA VICTORIA NORVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CDE
Contact information
Practice address
4234 BRONX BLVD, BRONX, NY 10466-2668
(347) 341-4300
Mailing address
200 CORPORATE BLVD S, YONKERS, NY 10701-6806
(347) 853-3276
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
612244
NY
Other
Enumeration date
03/10/2020
Last updated
03/10/2020
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