Mamuyac, Lora Lumubos

Mamuyac, Lora Lumubos is an sole proprietor health care provider with primary practice located at 18 1St Ave , Holtsville NY 11742-4208. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Mamuyac, Lora Lumubos can be contacted via phone (631) 902-8439.

Contact Information

Primary practice address
18 1St Ave Holtsville NY 11742-4208
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X F307956-1 New York

Profile Details

NPI number 1275053142
LBN Legal business name Mamuyac, Lora Lumubos
Credentials AGPCNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 22nd, 2017
Last updated Jun 22nd, 2017 - about 7 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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