Provider Demographics
NPI:1003209750
Name:DECARTIER, LLOYD VINNIE (LPN)
Entity Type:Individual
Prefix:
First Name:LLOYD
Middle Name:VINNIE
Last Name:DECARTIER
Suffix:
Gender:M
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 STELLA DR
Mailing Address - Street 2:HILLCREST,NY 10977
Mailing Address - City:SPRING VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10977-2409
Mailing Address - Country:US
Mailing Address - Phone:845-262-8683
Mailing Address - Fax:
Practice Address - Street 1:9 STELLA DR
Practice Address - Street 2:HILLCREST,NY 10977
Practice Address - City:SPRING VALLEY
Practice Address - State:NY
Practice Address - Zip Code:10977-2409
Practice Address - Country:US
Practice Address - Phone:845-262-8683
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-05
Last Update Date:2015-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY318875164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse