Provider Demographics
NPI:1821421637
Name:LAFLEUR, PIERETTE
Entity Type:Individual
Prefix:
First Name:PIERETTE
Middle Name:
Last Name:LAFLEUR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2920 CORTELYOU RD # A
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11226-6313
Mailing Address - Country:US
Mailing Address - Phone:917-239-3094
Mailing Address - Fax:718-287-4600
Practice Address - Street 1:2920 CORTELYOU RD # A
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11226-6313
Practice Address - Country:US
Practice Address - Phone:917-239-3094
Practice Address - Fax:718-287-4600
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-15
Last Update Date:2013-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY314704164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse