Individual provider · Type 1 NPI

Vivianne Regina Laura

Specialist · West Babylon, NY

NPI number 1790046803 Active

Practice location

14 Baker St, Apt. D
West Babylon, NY 11704-8035

Call (917) 361-2713 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1790046803

Vivianne Regina Laura's National Provider Identifier is 1790046803, issued on Jun 5, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in West Babylon, NY. The record was last updated on Jun 5, 2012.