LORIELLEN E LORUSSO

PORT JEFFERSON STATION, NY
NPI1508026667
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LX0001X Nurse Practitioner, Obstetrics & Gynecology
(Licence: NY  499885)
Enumeration Date2008-06-12
Last Update Date2008-06-12
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
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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