Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1700132255 Individual Practitioner Male Practitioner

Dylan Michael Lebourveau , LPN

Licensed Practical Nurse • West Islip, NY

Professional Overview & Biography Verified Profile Summary

Dylan Lebourveau, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in West Islip, NY. Practice services are available at 1145 MONTAUK HWY STE 1 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1145 Montauk Hwy Ste 1

West Islip, NY 117954909

Telephone 6316660111

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in West Islip, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 8.0 Yrs
Regional Practice Density
18 Specialists

Practicing in West Islip, NY (23738 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License NY 303092

An individual 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.

Secondary Practice Locations

227 Maplecrest Dr

Ronkonkoma, NY 117791964

Phone: 6319819583

227 Maplecrest Dr

Ronkonkoma, NY 117791964

Phone: 6319819583

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active December 06, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location December 06, 2017

Registered at 1145 MONTAUK HWY STE 1, WEST ISLIP, NY 117954909 (Tel: 6316660111)

📍
Updated Business Mailing Address December 06, 2017

Registered at 227 MAPLECREST DR, RONKONKOMA, NY 117791964 (Tel: 6314662457)

👤
Provider Name / Credentials Updated December 06, 2017

Recorded as DYLAN LEBOURVEAU, L.P.N.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 06, 2017

Licensed Practical Nurse (License #303092 in NY)

NPI Profile Active August 01, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location August 01, 2012

Registered at 227 MAPLECREST DR, RONKONKOMA, NY 117791964 (Tel: 6319819583)

📍
Updated Business Mailing Address August 01, 2012

Registered at 227 MAPLECREST DR, RONKONKOMA, NY 117791964 (Tel: 6319819583)

👤
Provider Name / Credentials Updated August 01, 2012

Recorded as DYLAN LEBOURVEAU, L.P.N.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 01, 2012

Licensed Practical Nurse (License #303092 in NY)

🟢
Initial NPI Registration & Enumeration August 01, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dylan Lebourveau. Be the first to share your experience!

Sign in to leave a review for Dylan Lebourveau

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1700132255
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 01, 2012
Last Update: March 17, 2018
Sole Proprietor: Yes

Mailing Address

227 Maplecrest Dr

Ronkonkoma, NY 117791964

Phone: 6314662457

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.