Lebourveau, Dylan Michael

Lebourveau, Dylan Michael is an sole proprietor health care provider with primary practice located at 1145 Montauk Hwy Ste 1 , West Islip NY 11795-4909. He recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as his primary health care specialty. Lebourveau, Dylan Michael can be contacted via phone (631) 666-0111.

Contact Information

Primary practice address
1145 Montauk Hwy Ste 1 West Islip NY 11795-4909
Phone: (631) 666-0111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 303092 New York

Profile Details

NPI number 1700132255
LBN Legal business name Lebourveau, Dylan Michael
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 1st, 2012
Last updated Mar 17th, 2018 - about 6 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.

Request for update

Popular Providers