Most Relevant Information
Provider Data
| NPI Number: | 1003686544 |
| Provider Name: | LARAN GENC LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 341739-01 |
Most Important Dates
| Enumeration Date: | 01/05/2024 |
| Last Updated: | 01/05/2024 |
Provider Practice Location
101 CURTIS DR
SOUND BEACH
NY
117892254
Practice Location Phone/Fax
| Phone: | 6319658403 |
| Fax: |
Provider Mailing Location
101 CURTIS DR
SOUND BEACH
NY
117892254
Provider Mailing Phone/Fax
| Phone: | 6319658403 |
| Fax: |