Boursiquot, Lourdes Marie

Boursiquot, Lourdes Marie is an sole proprietor health care provider with primary practice located at 35 Columbo Dr , Deer Park NY 11729-1808. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Boursiquot, Lourdes Marie can be contacted via phone (631) 242-4488.

Contact Information

Primary practice address
35 Columbo Dr Deer Park NY 11729-1808
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 256596-1 New York

Profile Details

NPI number 1780867887
LBN Legal business name Boursiquot, Lourdes Marie
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 11th, 2007
Last updated Dec 11th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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