Individual
MS. KATHLEEN LISE CORMIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
256 VALLEY RIDGE RD, HONESDALE, PA 18431-7872
(570) 729-7234
Mailing address
256 VALLEY RIDGE RD, HONESDALE, PA 18431-7872
(570) 729-7234
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
274219-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
274219-1
LICENSED PRATICAL NURSE
NY
Enumeration date
03/15/2009
Last updated
03/15/2009
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