Individual
MS. LORI L. CAPELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
301 VALLEY DR, SYRACUSE, NY 13207-2298
(315) 468-1632
(315) 468-1635
Mailing address
301 VALLEY DR, SYRACUSE, NY 13207-2298
(315) 468-1632
(315) 468-1635
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
001535-1
NY
Other
Enumeration date
12/04/2008
Last updated
12/04/2008
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