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Edjeanine Boucicault, LPN
NPI 1912624115 · on the registry since 2022 · sole proprietor
Practice
- Address
- 153 Lake Shore Rd
Lake Ronkonkoma, NY 11779 - Phone
- (631) 522-6876
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- Licensed Practical Nurse
164W00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-10-27
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