Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sam Parker Fremont, LPN

Individual provider Licensed Practical Nurse · NPI 1396672630

Sam Parker Fremont, LPN is a Licensed Practical Nurse in Lake Ronkonkoma, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2026
What do these letters mean?
LPN — Licensed Practical Nurse
A licensed nurse who works under the direction of an RN or physician.

See every abbreviation used in this directory →

Practice location Address checks out

58 Portion Rd Unit 52
Lake Ronkonkoma, NY 11779-4177
Phone: (631) 459-1158
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 356041 (NY)

Record details

NPI number1396672630
Entity typeIndividual (Type 1)
GenderMale
Credentials LPN
Sole proprietorYes
NPI enumeratedMay 8, 2026
Last updated in NPPESMay 8, 2026
Certification dateMay 7, 2026

Other providers in Lake Ronkonkoma