Liselle Frederick, LPN
NPI #1023642808 in North Baldwin, New York
Provider Information
- NPI Number
- 1023642808
- Entity Type
- Individual
- Name
- Liselle Frederick, LPN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Registered Nurse - General Practice
- Credential
- LPN
- Enumeration Date
- Mar 2, 2020
- Last Updated
- Mar 2, 2020
Practice Location
- Address
- 1160 HICKS PL
- City
- North Baldwin
- State
- New York
- ZIP Code
- 11510-1116
- Phone
- (516) 765-1449
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse - General Practice — General Practice |
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