Lookup NPI Numbers from the NPI Registry
NPI Profile for LISELLE FREDERICK in BALDWIN, NY.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
General Practice |
163WG0000X |
| NPI Number | 1023642808 |
|
| Status | Active | |
| Credentials | LPN (Licensed Practical Nurse) | |
| Entity | Individual | |
| Enumeration date | 03/02/2020 | |
| Last updated | 03/02/2020 - About 6 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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LISELLE FREDERICK
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LISELLE FREDERICK, LPN