Provider Demographics
NPI:1043472483
Name:LAGUERRE, CLAUDETTE
Entity Type:Individual
Prefix:MISS
First Name:CLAUDETTE
Middle Name:
Last Name:LAGUERRE
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:CLAUDETTE
Other - Middle Name:
Other - Last Name:LAGUERRE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPN
Mailing Address - Street 1:25368 148TH DR
Mailing Address - Street 2:
Mailing Address - City:ROSEDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11422-2816
Mailing Address - Country:US
Mailing Address - Phone:718-528-5168
Mailing Address - Fax:
Practice Address - Street 1:25368 148TH DR
Practice Address - Street 2:
Practice Address - City:ROSEDALE
Practice Address - State:NY
Practice Address - Zip Code:11422-2816
Practice Address - Country:US
Practice Address - Phone:718-528-5168
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-26
Last Update Date:2008-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY226062164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse