Mrs Micky Jaynes Lawrence, | |
52 Journeay St, Staten Island, NY 10303-2233 | |
(646) 355-5075 | |
Not Available |
Full Name | Mrs Micky Jaynes Lawrence |
---|---|
Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 52 Journeay St, Staten Island, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053690420 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 757926 (New York) | Secondary |
164W00000X | Licensed Practical Nurse | 305513-1 (New York) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mrs Micky Jaynes Lawrence, 52 Journeay St, Staten Island, NY 10303-2233 Ph: (646) 355-5075 | Mrs Micky Jaynes Lawrence, 52 Journeay St, Staten Island, NY 10303-2233 Ph: (646) 355-5075 |
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