ANN LUCY LETOURNEAU MD NPI 1891801189

NPI Information

NPI: 1891801189
Provider Name: ANN LUCY LETOURNEAU, MD
Classification: Surgery - 2086S0122X
Entity Type: Individual

Specialization: Plastic and Reconstructive Surgery

PECOS Registration: Yes

Address:
96 TERRYVILLE RD
PORT JEFFERSON STATION, NY
ZIP 11776
Phone: (631) 473-4200
Get Directions

Ann Lucy Letourneau, MD is a plastic and reconstructive surgery surgery in Port Jefferson Station, NY. The provider is a surgeon who specializes in plastic and reconstructive surgery. Ann Lucy Letourneau, MD NPI is 1891801189. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

96 TERRYVILLE RD
PORT JEFFERSON STATION, NY
ZIP 11776-388
Phone: (631) 473-4200
Fax: (631) 473-4995

The NPI 1891801189 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/21/2006 and was last updated on 7/22/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0122X	Surgery	Plastic and Reconstructive Surgery	197047	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	F96789	MEDICARE UPIN
2	59J091	MEDICARE PIN	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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