Lorraine Dubouchet PA-C

NPI 1760456875 - Physician Assistant - 363A00000X

NPI Details
NPI 1760456875
Gender Female
Enumeration Date 02/15/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
450 CLARKSON AVE
BOX 56
BROOKLYN NY, 11203-2056, US
Phone (718) 270-2932
Fax (718) 270-4123
Business Location
53 TORREY PINES CT
HOLMDEL NJ, 07733-2524, US
Phone (732) 796-0262
Fax
Toxanomy
Taxonomy Code 363A00000X
License State New York
License Number 004499-1
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According to our database, Mrs. Lorraine Dubouchet PA-C NPI is 1760456875, taxonomy code is 363A00000X and license number is 004499-1, license state is located at New York. Lorraine Dubouchet PA-C physically located at 450 Clarkson Ave, Brooklyn NY, 11203-2056. NPI Number Lorraine Dubouchet PA-C has the Individual type.

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1760456875 NPI number is provided on an as is basis without warranty of any kind. 1760456875 is maintained by the National Plan & Provider Enumeration System. The contents of Lorraine Dubouchet PA-C are for informational purposes only.