Provider Demographics
NPI:1780064386
Name:ESTILLORE-ASUNCION, LOVERN YUSON (RN)
Entity type:Individual
Prefix:
First Name:LOVERN
Middle Name:YUSON
Last Name:ESTILLORE-ASUNCION
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:LOVERN
Other - Middle Name:YUSON
Other - Last Name:ESTILLORE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:4752 44TH ST
Mailing Address - Street 2:APT A4
Mailing Address - City:WOODSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11377-6349
Mailing Address - Country:US
Mailing Address - Phone:914-519-8865
Mailing Address - Fax:
Practice Address - Street 1:4752 44TH ST
Practice Address - Street 2:APT A4
Practice Address - City:WOODSIDE
Practice Address - State:NY
Practice Address - Zip Code:11377-6349
Practice Address - Country:US
Practice Address - Phone:914-519-8865
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-09
Last Update Date:2015-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY642675163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse