MRS. Lourdes Marie Boursiquot, LPN

NPI #1780867887 in Deer Park, New York

Provider Information

NPI Number
1780867887
Entity Type
Individual
Name
MRS. Lourdes Marie Boursiquot, LPN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Credential
LPN
Enumeration Date
Dec 11, 2007
Last Updated
Dec 11, 2007

Practice Location

Address
35 COLUMBO DR
ZIP Code
11729-1808
Phone
(631) 242-4488

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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