Lawrencia Betongu, LPN
Individual provider Active NPI Licensed Practical Nurse · Nanuet, NY
NPI 1235503202 · NPPES record last updated Nov 13, 2015
Key facts
- NPI
- 1235503202
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 323705-1 (NY)
- Practice address
- 508 Airport Executive Park
Nanuet, NY 10954-5238 - Phone
- (845) 425-2655
- NPI assigned
- Nov 13, 2015
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 323705-1 | NY | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 323705-1 | NY | Yes |
Addresses
Primary practice location
508 Airport Executive Park
Nanuet, NY 10954-5238
Mailing address
337 W Clarkstown Rd
New City, NY 10956-7126
Phone (845) 494-3268
Other providers in Nanuet, NY
- Ann Berry
- Woodrow Berry
- Erica Bertone
- Alexandra Besas
- Megan E Besaw
- Lisa Stephanie Better
- Brittany Beyer
- BG Center
- Hanisha Kamlesh Bhatia
- Linda Ida Bierdumpfel-Bihari
All providers in Nanuet, NY · Licensed Practical Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 13, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.