Individual provider · Type 1 NPI

Lola Lucilda Barracks

Family Nurse Practitioner · Bronx, NY

NPI number 1376139048 Active

Practice location

2015 Grand Concourse
Bronx, NY 10453-4303

Mailing address

1434 Williamsbridge Rd Fl 2
Bronx, NY 10461-2507

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XF345704 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1376139048

Lola Lucilda Barracks's National Provider Identifier is 1376139048, issued on Dec 17, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Bronx, NY. The record was last updated on Oct 28, 2021.