Provider Demographics
NPI:1841743168
Name:LAURITO, NAPOLEON LOPEZ V (LPN)
Entity Type:Individual
Prefix:MR
First Name:NAPOLEON
Middle Name:LOPEZ
Last Name:LAURITO
Suffix:V
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 1:55 AUSTIN PL
Mailing Address - Street 2:APPARTMENT 1 S
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10304-2141
Mailing Address - Country:US
Mailing Address - Phone:551-697-9771
Mailing Address - Fax:
Practice Address - Street 1:55 AUSTIN PL
Practice Address - Street 2:APPARTMENT 1 S
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10304-2141
Practice Address - Country:US
Practice Address - Phone:551-697-9771
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-03
Last Update Date:2016-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY200590-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse