Provider Demographics
NPI:1508692674
Name:GUARIGLIA, LENORE
Entity type:Individual
Prefix:
First Name:LENORE
Middle Name:
Last Name:GUARIGLIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LENORE
Other - Middle Name:
Other - Last Name:GUARIGLIA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CLC
Mailing Address - Street 1:18 BORMAN CT
Mailing Address - Street 2:
Mailing Address - City:RONKONKOMA
Mailing Address - State:NY
Mailing Address - Zip Code:11779-1981
Mailing Address - Country:US
Mailing Address - Phone:631-219-4992
Mailing Address - Fax:
Practice Address - Street 1:18 BORMAN CT
Practice Address - Street 2:
Practice Address - City:RONKONKOMA
Practice Address - State:NY
Practice Address - Zip Code:11779-1981
Practice Address - Country:US
Practice Address - Phone:631-219-4992
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-13
Last Update Date:2024-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY360794174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN