Provider Demographics
NPI:1124756697
Name:LONCKE INDUSTRIES CORPORATION
Entity type:Organization
Organization Name:LONCKE INDUSTRIES CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:FREDERICA
Authorized Official - Middle Name:S
Authorized Official - Last Name:PIERRE
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:347-616-0327
Mailing Address - Street 1:24 ROGER RD
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08817-4532
Mailing Address - Country:US
Mailing Address - Phone:347-616-0327
Mailing Address - Fax:
Practice Address - Street 1:24 ROGER RD
Practice Address - Street 2:
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08817-4532
Practice Address - Country:US
Practice Address - Phone:347-616-0327
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-11
Last Update Date:2022-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care