Individual
KATHLEEN LOUGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1425 PORTLAND AVE, ROCHESTER, NY 14621-3011
(585) 922-4518
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
F311011-01
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
311011
NY
Other
Enumeration date
01/21/2025
Last updated
02/21/2025
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