person
Laquan Superville
Family Nurse Practitioner in New York, New York
NPI 1811682842

Laquan Superville is a Family Nurse Practitioner based in Richmond Hill, NY and is specialized in Family. Laquan Superville practices in New York, NY. The NPI Number for Laquan Superville is 1811682842 and holds a License No. 350969 (New York).

The current practice location address for Laquan Superville is 335 Lenox Ave, New York, NY and can be reached out via phone at 718-450-4907.

Location: 335 Lenox Ave, New York, NY, 11418-2664
person
Provider Profile Details
NPI Number
1811682842
Provider Name
Laquan Superville
Credential
Provider Entity Type
Individual
Gender
Female
Address
335 Lenox Ave, New York, NY, 11418-2664
Phone Number
718-450-4907
Fax Number
Provider Enumeration Date
04/06/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
335 Lenox Ave
City
State
Zip
10027-3703
Phone Number
718-450-4907
Fax Number
person
Provider Business Mailing Address Details
Address
335 Lenox Ave
City
State
Zip
10027-3703
Phone Number
718-450-4907
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
350969 (New York)
Definition
Definition to come...
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