Waters, Lorraine

Waters, Lorraine is an sole proprietor health care provider with primary practice located at 11723 142Nd Pl , Jamaica NY 11436-1232. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Waters, Lorraine can be contacted via phone (718) 725-7065.

Contact Information

Primary practice address
11723 142Nd Pl Jamaica NY 11436-1232
Phone: (718) 725-7065
Fax: (718) 725-7065
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 159138 New York

Profile Details

NPI number 1487830055
LBN Legal business name Waters, Lorraine
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 14th, 2008
Last updated Jan 14th, 2008 - about 16 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 1487830055 NPPES
New York MEDICAID 01284211

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