Provider Demographics
NPI:1346576931
Name:FLEURIMOND, MARIE LUCIE (LPN)
Entity Type:Individual
Prefix:MS
First Name:MARIE
Middle Name:LUCIE
Last Name:FLEURIMOND
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2118 CORTELYOU RD APT 1
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11226-6071
Mailing Address - Country:US
Mailing Address - Phone:917-239-3094
Mailing Address - Fax:718-287-4600
Practice Address - Street 1:2920 CORTELYPU RD
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11226
Practice Address - Country:US
Practice Address - Phone:718-287-4300
Practice Address - Fax:718-287-4600
Is Sole Proprietor?:No
Enumeration Date:2009-11-02
Last Update Date:2009-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2175291164W00000X, 164X00000X, 374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
No164X00000XNursing Service ProvidersLicensed Vocational Nurse
No374U00000XNursing Service Related ProvidersHome Health Aide