Lissa Boileau
NPI #1174840367 in Ronkonkoma, New York
Provider Information
- NPI Number
- 1174840367
- Entity Type
- Individual
- Name
- Lissa Boileau
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Enumeration Date
- Apr 27, 2010
- Last Updated
- Feb 6, 2025
Practice Location
- Address
- 2 THE PLZ
- City
- Ronkonkoma
- State
- New York
- ZIP Code
- 11779-5849
- Phone
- (631) 676-2765
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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