Lourdes M La Serna

NPI #1235476748 in Melville, New York

Provider Information

NPI Number: 1235476748
Entity Type: Individual
Name: Lourdes M La Serna
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Enumeration Date: Jan 4, 2013
Last Updated: Jan 4, 2013

Practice Location

Address: 538 BROADHOLLOW RD STE 202
City: Melville
State: New York
ZIP Code: 11747-3668
Phone: (631) 385-7780

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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