Clayton Willing, Lisa Dawn

Clayton Willing, Lisa Dawn is an sole proprietor health care provider with primary practice located at 86 Queen Dr , Sound Beach NY 11789-1528. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Clayton Willing, Lisa Dawn can be contacted via phone (631) 821-1049.

Contact Information

Primary practice address
86 Queen Dr Sound Beach NY 11789-1528
Phone: (631) 821-1049
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 266510-1 New York

Profile Details

NPI number 1295958205
LBN Legal business name Clayton Willing, Lisa Dawn
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 10th, 2007
Last updated Jul 8th, 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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