Individual provider · NPI-1

Lillian Lawton-Hernandez, PNP

Nurse Practitioner, Pediatrics · Islandia, NY

NPI number1972676146

StatusActive

Last updated in NPPESAug 10, 2022

Details

NPI: 1972676146
Entity type: Individual (NPI-1)
Name: Lillian Lawton-Hernandez
Credential: PNP
Sex: Female
Sole proprietor: No
Enumeration date: Nov 16, 2006
Certification date: Aug 10, 2022
Last updated: Aug 10, 2022

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
363LP0200X	Nurse Practitioner, Pediatrics	F380495	NY	Yes

Practice location

3001 Expressway Dr N Ste 100
Islandia, NY 11749-5301

Phone 631-434-1770 · Fax 631-234-6175

Mailing address

161 Bayport Ave
Bayport, NY 11705-1850

Phone 631-434-1770 · Fax 631-434-6175

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