Individual
LORI VENTURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20 SHERATON DR, ALTOONA, PA 16601-9316
(814) 946-5411
Mailing address
20 SHERATON DR, ALTOONA, PA 16601-9316
(814) 946-5411
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1042002720001
—
PA
Enumeration date
12/09/2024
Last updated
12/09/2024
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