Search › New York › 164W00000X
Dylan Lebourveau, L.P.N
NPI 1700132255 · on the registry since 2012 · sole proprietor
Practice
- Address
- 1145 Montauk Hwy Ste 1
West Islip, NY 11795 - Phone
- (631) 666-0111
- Organisation at this address
- Atlantic Sc Llc
American Orthodontic Associates Of West Islip,LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Additional practice sites
- 227 Maplecrest Dr, Ronkonkoma, NY
- 227 Maplecrest Dr, Ronkonkoma, NY
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-03-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York