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Dylan Michael Lebourveau, LPN
Licensed Practical Nurse in West Islip, New York
NPI 1700132255

Dylan Michael Lebourveau is a Licensed Practical Nurse based in Ronkonkoma, NY. Dylan Michael Lebourveau practices in West Islip, NY and has the professional credentials of LPN. The NPI Number for Dylan Michael Lebourveau is 1700132255 and holds a License No. 303092 (New York).

The current practice location address for Dylan Michael Lebourveau is 1145 Montauk Hwy Ste 1, West Islip, NY and can be reached out via phone at 631-666-0111.

Location: 1145 Montauk Hwy Ste 1, West Islip, NY, 11779-1964
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700132255
Provider Name
Dylan Michael Lebourveau
Credential
LPN
Provider Entity Type
Individual
Gender
Male
Address
1145 Montauk Hwy Ste 1, West Islip, NY, 11779-1964
Phone Number
631-666-0111
Fax Number
Provider Enumeration Date
08/01/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1145 Montauk Hwy Ste 1
City
West Islip
State
New York
Zip
11795-4909
Phone Number
631-666-0111
Fax Number
person
Provider Business Mailing Address Details
Address
1145 Montauk Hwy Ste 1
City
West Islip
State
New York
Zip
11795-4909
Phone Number
631-666-0111
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
303092 (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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