National Provider Identifier
Laurie Ann Defeo, LPN
Laurie Ann Defeo, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Bergen, NY and a listed phone number of (561) 629-3455.
Profile Overview
- NPI
- 1285294967
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- June 16, 2019
- Last Updated
- June 16, 2019
Practice Location
- 5911 N Lake RD
- Bergen, NY 14416-9507
Phone: (561) 629-3455
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1285294967
- Entity Type
- Individual
- Last Name
- Defeo
- First Name
- Laurie
- Middle Name
- Ann
- Credential
- LPN
- Mailing Street Address
- 5911 N Lake RD
- Mailing City
- Bergen
- Mailing State
- NY
- Mailing ZIP Code
- 14416-9507
- Mailing Country
- US
- Mailing Phone
- (561) 629-3455
- Practice Street Address
- 5911 N Lake RD
- Practice City
- Bergen
- Practice State
- NY
- Practice ZIP Code
- 14416-9507
- Practice Country
- US
- Practice Phone
- (561) 629-3455
- Enumeration Date
- June 16, 2019
- Last Updated
- June 16, 2019
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)