Lorraine Marie Diaz, L.P.N.
Individual provider Active NPI Licensed Practical Nurse · Roosevelt, NY
NPI 1457683096 · NPPES record last updated Feb 8, 2010
Key facts
- NPI
- 1457683096
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 221389-1 (NY)
- Practice address
- 380 Washington Avenue
United Cerebral Palsy
Roosevelt, NY 11757 - Phone
- (516) 378-2000
- Fax
- (516) 377-2081
- NPI assigned
- Feb 8, 2010
- 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 |
|---|---|---|---|
| 221389-1 | NY | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 221389-1 | NY | Yes |
Addresses
Primary practice location
380 Washington Avenue
United Cerebral Palsy
Roosevelt, NY 11757
Mailing address
380 Washington Avenue
United Cerebral Palsy
Roosevelt, NY 11575
Phone (516) 378-2000
Other providers in Roosevelt, NY
- Jessica Dellicarpini
- Brittney Delpesche
- Michael Delsignore
- Xiomara Diaz-Barrios
- Laurie Diaz
- Rachel Diaz
- Samuel Emmanuel Dickerson
- Diane Divergilio-Antonette
- Maxine Dixon Williams
- Doing It the Wright Way, Inc.
All providers in Roosevelt, 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 Feb 8, 2010. 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.