Individual
KELLY LYNNE LONIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, ANP,
Contact information
Practice address
800 IRVING AVE, TEAM BLUE, SYRACUSE, NY 13210-2716
(315) 425-4000
Mailing address
800 N MCBRIDE ST, SYRACUSE, NY 13203-1736
(315) 422-6003
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F302392
NY
Other
Enumeration date
10/09/2007
Last updated
10/09/2007
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