LORRAINE P VAUGHAN

AMITYVILLE, NY
NPI1265645865
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NY  F346635)
Additional Taxonomies163W00000X Registered Nurse
(Licence: NY  620739)
174400000X Specialist
(Licence: NY  28VA1051478)
Enumeration Date2007-05-08
Last Update Date2021-01-03
Business Address
LORRAINE P VAUGHAN
15 HARRISON AVE APT 23C
AMITYVILLE, NY 11701-2431
Phone number: 631-789-6552
Mailing Address
LORRAINE P VAUGHAN
15 HARRISON AVE APT 23C
AMITYVILLE, NY 11701-2431
Phone number: 631-789-6552