Most Relevant Information
Provider Data
| NPI Number: | 1003536186 |
| Provider Name: | LYNDA LOHSE REGISTERED NURSE |
| Entity Type: | Individual |
| Taxonomy Code: | 163WP0808X |
| Specialty: | Registered Nurse |
| License Number: | 758410 |
Most Important Dates
| Enumeration Date: | 08/30/2022 |
| Last Updated: | 08/30/2022 |
Provider Practice Location
777 SEAVIEW AVE
STATEN ISLAND
NY
103053409
Practice Location Phone/Fax
| Phone: | 7186672588 |
| Fax: |
Provider Mailing Location
445 OAK AVE
STATEN ISLAND
NY
103064519
Provider Mailing Phone/Fax
| Phone: | 9176477080 |
| Fax: |