Individual provider · Type 1 NPI

Crystal Chanel Dillard, LPN

Licensed Practical Nurse · Coram, NY

NPI number 1649536103 Active

Practice location

13 Polk Ct
Coram, NY 11727-3915

Call (631) 732-0787 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X308880-1 (NY)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1649536103

Crystal Chanel Dillard, LPN's National Provider Identifier is 1649536103, issued on Apr 9, 2012. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Coram, NY. The record was last updated on Apr 9, 2012.