Individual
LORI A WOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5639 W GENESEE ST, CAMILLUS, NY 13031-1250
(315) 468-6888
(315) 468-6892
Mailing address
1001 W FAYETTE ST, SUITE 400, SYRACUSE, NY 13204-2859
(315) 472-1488
(315) 472-8060
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F300720
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01521008
—
NY
Enumeration date
12/21/2005
Last updated
10/08/2015
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