LYNETTE LEOLA LEEPACK

STONY BROOK, NY
NPI1952619512
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: NY  302648)
Enumeration Date2010-09-16
Last Update Date2010-09-16
Business Address
-- LYNETTE LEOLA LEEPACK n.p.
3 EDMUND D PELLEGRINO RD
STONY BROOK, NY 11794-9460
Phone number: 631-638-0693
Mailing Address
-- LYNETTE LEOLA LEEPACK n.p.
19 BOTANY LN
STONY BROOK, NY 11790-2519
Phone number: 631-721-8065