Lora Lumubos Mamuyac, AGPCNP
NPI #1275053142 in Holtsville, New York
Provider Information
- NPI Number
- 1275053142
- Entity Type
- Individual
- Name
- Lora Lumubos Mamuyac, AGPCNP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Adult Health
- Credential
- AGPCNP
- Enumeration Date
- Jun 22, 2017
- Last Updated
- Jun 22, 2017
Practice Location
- Address
- 18 1ST AVE
- City
- Holtsville
- State
- New York
- ZIP Code
- 11742-4208
- Phone
- (631) 902-8439
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Adult Health — Adult Health |
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