Lys Claudie Perard
Nurse Practitioner, Pediatrics in Saint Albans, NY. Individual provider (NPI-1).
NPI number1003340969
StatusActive
Last updated in NPPESApr 18, 2017
Details
- NPI
- 1003340969
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Lys Claudie Perard
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 18, 2017
- Last updated
- Apr 18, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | 382679 | NY | Yes |
Practice location
18540 Jordan AveSaint Albans, NY 11412-2306
Phone 718-208-3089
Mailing address
18540 Jordan AveSaint Albans, NY 11412-2306
Phone 718-208-3089
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