Individual provider · Type 1 NPI
Lavizan Baldev
Pediatric Registered Nurse · Port Jefferson Station, NY
NPI number
1346408143
Active
Practice location
9 Norton Ave
Port Jefferson Station, NY 11776-4407
Mailing address
8 Esther Ct
Patchogue, NY 11772-1814
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Registered Nurse Primary | 163WP0200X | 536970-1 (NY) |
Pediatric Registered Nurse: Definition to come...
Other pediatric registered nurse providers in Port Jefferson Station
About NPI 1346408143
Lavizan Baldev's National Provider Identifier is 1346408143, issued on May 28, 2008. The primary taxonomy on file is Pediatric Registered Nurse (163WP0200X), and the practice location is in Port Jefferson Station, NY. The record was last updated on May 28, 2008.