Individual provider · Type 1 NPI
Lora Lumubos Mamuyac, AGPCNP
Adult Health Nurse Practitioner · Holtsville, NY
NPI number
1275053142
Active
Practice location
18 1st Ave
Holtsville, NY 11742-4208
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | F307956-1 (NY) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1275053142
Lora Lumubos Mamuyac, AGPCNP's National Provider Identifier is 1275053142, issued on Jun 22, 2017. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Holtsville, NY. The record was last updated on Jun 22, 2017.