Evelyne Lacombe, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

228726 Issued in NY

Practice address

565 Woodbury Rd
Woodbury, NY 11797-2507

Phone

(516) 366-9533

NPI assigned

Jan 30, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1366588733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "565 WOODBURY RD",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117972507",
            "telephone_number": "516-366-9533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 WOODBURY RD",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117972507",
            "telephone_number": "516-366-9533"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "590 Woodbury Rd",
            "address_purpose": "LOCATION",
            "city": "Cold Spring Harbor",
            "state": "NY",
            "postal_code": "117242241",
            "country_code": "US",
            "telephone_number": "631-659-3240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LACOMBE",
        "first_name": "EVELYNE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "228726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01680313",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lee Matthew Kupersmith, M.D
• Michael Allen Kwartner, OPTICIAN
• Beth Labelson, MA RD CDN
• Marena Medhat Labib
• Laboratory of Dermatopathology Adx, LLC
• Mireille Gracia Lafosse
• Shamim A Lalani, FNP
• Janice C. Lamm, D.C., L.AC.
• Bonnie B Lasinski, PT
• Lawrence J. Maltin, M.D.,P.C.

• Licensed Practical Nurse in Woodbury, NY
• Providers in Woodbury, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.