Individual provider · Type 1 NPI

Dylan Michael Lebourveau, L.P.N.

Licensed Practical Nurse · West Islip, NY

NPI number 1700132255 Active

Practice location

1145 Montauk Hwy Ste 1
West Islip, NY 11795-4909

Call (631) 666-0111 Map

Mailing address

227 Maplecrest Dr
Ronkonkoma, NY 11779-1964

Other practice locations

  • 227 Maplecrest Dr, Ronkonkoma, NY 11779-1964 · (631) 981-9583
  • 227 Maplecrest Dr, Ronkonkoma, NY 11779-1964 · (631) 981-9583

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X303092 (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 1700132255

Dylan Michael Lebourveau, L.P.N.'s National Provider Identifier is 1700132255, issued on Aug 1, 2012. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in West Islip, NY. The record was last updated on Mar 17, 2018.