MR. Michael Edward Lidowitz JR., LPN
NPI #1447850425 in Lake Grove, New York
Provider Information
- NPI Number
- 1447850425
- Entity Type
- Individual
- Name
- MR. Michael Edward Lidowitz JR., LPN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Oct 28, 2020
- Last Updated
- Oct 28, 2020
Practice Location
- Address
- 250 HUDSON AVE
- City
- Lake Grove
- State
- New York
- ZIP Code
- 11755-2528
- Phone
- (631) 626-9713
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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