Individual
MRS. MICHELE ANN LORTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EDM
Contact information
Practice address
4184 ROUTE 9W, WEST CAMP, NY 12490
(845) 247-0941
Mailing address
203 BAYARD ST., PO BOX 696, PORT EWEN, NY 12466
(845) 224-7519
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
07/12/2017
Last updated
07/12/2017
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