EDJEANINE BOUCICAULT, LPN

LPN

Licensed Practical Nurse

NPI: 1912624115Individual

Specialties, Licenses & Credentials

Licensed Practical NursePrimary

Licensed Practical Nurse

Code: 164W00000X

332414-1(NY)

Contact & Hours

Address: 153 LAKE SHORE RD
LAKE RONKONKOMA, NY 11779
Phone: (631) 522-6876

Quick Facts

NPI: 1912624115
Entity Type: Individual
Gender: Female
Medicare: Not confirmed
Specialties: 1
Locations: 1

Are you this provider?

Claim Your Profile