Individual
LORELL LEIGH FITZSIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
112 STATE ST, ALBANY, NY 12207-2005
(518) 447-4820
Mailing address
112 STATE ST, ALBANY, NY 12207-2005
(518) 447-4820
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
70762014
EARLY INTERVENTION
NY
Enumeration date
05/31/2022
Last updated
05/31/2022
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