Lacast, Claudette Marx

Lacast, Claudette Marx is an individual health care provider with primary practice located at 25 Birch Street , Central Islip NY 11722. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Lacast, Claudette Marx can be contacted via phone (516) 695-8181.

Contact Information

Primary practice address
25 Birch Street Central Islip NY 11722
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 166604-1 New York

Profile Details

NPI number 1982809414
LBN Legal business name Lacast, Claudette Marx
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1982809414 NPPES
New York MEDICAID 01154769

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