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1508026667
LORIELLEN E LORUSSO
PORT JEFFERSON STATION, NY
NPI
1508026667
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LX0001X Nurse Practitioner, Obstetrics & Gynecology
(Licence: NY 499885)
Enumeration Date
2008-06-12
Last Update Date
2008-06-12
Business Address
-- LORIELLEN E LORUSSO R.N.C., N.P.
5225 ROUTE 347 STE 70
PORT JEFFERSON STATION, NY 11776-2061
Phone number: 631-331-8777
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Mailing Address
-- LORIELLEN E LORUSSO R.N.C., N.P.
5225 ROUTE 347 STE 70
PORT JEFFERSON STATION, NY 11776-2061
Phone number: 631-331-8777
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