Lorraine Marie Diaz, L.P.N.
Licensed Practical Nurse in Roosevelt, NY. Individual provider (NPI-1).
NPI number1457683096
StatusActive
Last updated in NPPESFeb 8, 2010
Details
- NPI
- 1457683096
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Lorraine Marie Diaz
- Credential
- L.P.N.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 8, 2010
- Last updated
- Feb 8, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 221389-1 | NY | Yes |
Practice location
380 Washington AvenueUnited Cerebral Palsy
Roosevelt, NY 11757
Phone 516-378-2000 · Fax 516-377-2081
Mailing address
380 Washington AvenueUnited Cerebral Palsy
Roosevelt, NY 11575
Phone 516-378-2000 · Fax 516-377-2081
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