Provider Demographics
NPI:1609358084
Name:DAYOT, LAWRENCE VILLANUEVA (RN)
Entity Type:Individual
Prefix:MR
First Name:LAWRENCE
Middle Name:VILLANUEVA
Last Name:DAYOT
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1380 RIVERSIDE DR APT 3C
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10033-1027
Mailing Address - Country:US
Mailing Address - Phone:214-471-2836
Mailing Address - Fax:
Practice Address - Street 1:175 W 166TH ST
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10452-4500
Practice Address - Country:US
Practice Address - Phone:214-471-2836
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-03
Last Update Date:2018-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY754175163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse