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Miss Alisa Lanora Wilson, LPN
Licensed Practical Nurse in Smithtown, New York
NPI 1841866118

Alisa Lanora Wilson is a Licensed Practical Nurse based in Smithtown, NY. Alisa Lanora Wilson practices in Smithtown, NY and has the professional credentials of LPN. The NPI Number for Alisa Lanora Wilson is 1841866118 and holds a License No. 336632 (New York).

The current practice location address for Alisa Lanora Wilson is 58 Avalon Cir, Smithtown, NY and can be reached out via phone at 516-476-4284 and via fax at 516-997-5336.

Location: 58 Avalon Cir, Smithtown, NY, 11787-3855
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841866118
Provider Name
Alisa Lanora Wilson
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
58 Avalon Cir, Smithtown, NY, 11787-3855
Phone Number
516-476-4284
Fax Number
516-997-5336
Provider Enumeration Date
05/27/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
58 Avalon Cir
City
Smithtown
State
New York
Zip
11787-3855
Phone Number
516-476-4284
Fax Number
516-997-5336
person
Provider Business Mailing Address Details
Address
58 Avalon Cir
City
Smithtown
State
New York
Zip
11787-3855
Phone Number
516-476-4284
Fax Number
516-997-5336
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
336632 (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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