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1770896409
LISA MARIE JANTZEN
HAUPPAUGE, NY
NPI
1770896409
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 336440)
Enumeration Date
2010-07-22
Last Update Date
2021-03-22
Business Address
Mrs. LISA MARIE JANTZEN FNP
1 KINGS HWY
HAUPPAUGE, NY 11788-4216
Phone number: 631-348-4900
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Mailing Address
Mrs. LISA MARIE JANTZEN FNP
14 GAETANO LN
CORAM, NY 11727-2345
Phone number: 631-921-2728
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