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Lisa Desousa, LPN
Licensed Practical Nurse in Shirley, New York
NPI 1336921279

Lisa Desousa is a Licensed Practical Nurse based in Shirley, NY. Lisa Desousa practices in Shirley, NY and has the professional credentials of LPN. The NPI Number for Lisa Desousa is 1336921279 and holds a License No. 341877-01 (New York).

The current practice location address for Lisa Desousa is 451 Revilo Ave, Shirley, NY and can be reached out via phone at 631-742-2053.

Location: 451 Revilo Ave, Shirley, NY, 11967-1543
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336921279
Provider Name
Lisa Desousa
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
451 Revilo Ave, Shirley, NY, 11967-1543
Phone Number
631-742-2053
Fax Number
Provider Enumeration Date
10/16/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
451 Revilo Ave
City
Shirley
State
New York
Zip
11967-1543
Phone Number
631-742-2053
Fax Number
person
Provider Business Mailing Address Details
Address
451 Revilo Ave
City
Shirley
State
New York
Zip
11967-1543
Phone Number
631-742-2053
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
341877-01 (New York)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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