Healthcare Provider Details

I. General information

NPI: 1366762544
Provider Name (Legal Business Name): DONNA LAGRANGE REGISTERED NURSE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/10/2010
Last Update Date: 06/10/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

84A CHURCH DR
MASTIC BEACH NY
11951-1812
US

IV. Provider business mailing address

84A CHURCH DR
MASTIC BEACH NY
11951-1812
US

V. Phone/Fax

Practice location:
  • Phone: 631-281-2348
  • Fax:
Mailing address:
  • Phone: 631-281-2348
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number390702-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: