Individual
LORRAINE NICHOLA KIDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
490 E RIDGE RD, ROCHESTER, NY 14621-1229
(585) 922-2723
(585) 922-2750
Mailing address
490 E RIDGE RD, ROCHESTER, NY 14621-1229
(585) 922-2723
(585) 922-2750
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/27/2013
Last updated
09/27/2013
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