Individual
LORRAINE A. D'ANGELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMH NP
Contact information
Practice address
3802 SENECA ST, WEST SENECA, NY 14224-3433
(716) 677-5418
(716) 677-4240
Mailing address
3802 SENECA ST, WEST SENECA, NY 14224-3433
(716) 677-5418
(716) 677-4240
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F400896
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03281734
—
NY
Enumeration date
10/26/2009
Last updated
11/30/2020
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