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DYLAN MICHAEL LEBOURVEAU L.P.N.
NPI 1700132255
Licensed Practical Nurse in West Islip, NY

Active since August 01, 2012
1145 MONTAUK HWY STE 1, WEST ISLIP, NY 11795(631) 666-0111 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 17, 2018, Dec 6, 2017 (2 updates tracked since 2017).

About Dylan Michael Lebourveau L.p.n. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DYLAN MICHAEL LEBOURVEAU L.P.N. (NPI 1700132255) is an individual licensed practical nurse in West Islip, New York, licensed in New York (303092) and active in the NPI registry since August 2012. He maintains a secondary practice location in Ronkonkoma.

NPPES Registry Identity

NPI1700132255
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameDYLAN MICHAEL LEBOURVEAUCredential: L.P.N.
Location Address1145 MONTAUK HWY STE 1West Islip, NY 11795-4909
Mailing Address227 Maplecrest DrRonkonkoma, NY 11779-1964 · (631) 466-2457
Phone(631) 666-0111
Sole ProprietorYes
Enumeration DateAugust 1, 2012
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1700132255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in NY · 303092
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
1145 MONTAUK HWY STE 1, West Islip, NY 11795
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Secondary Practice Location 1

Location 1227 Maplecrest DrRonkonkoma, NY 11779-1964 · Phone (631) 981-9583

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dylan Lebourveau's NPI number?

The NPI number for Dylan Lebourveau is 1700132255. It was assigned to this individual provider in the NPPES registry on August 1, 2012.

Where is Dylan Lebourveau located?

Dylan Lebourveau practices at 1145 Montauk Hwy Ste 1, West Islip, NY 11795. The listed phone number is (631) 666-0111.

What is Dylan Lebourveau's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Dylan Lebourveau was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.