Individual
MRS. LORI A. POWNALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
953 HIGH ST, VICTOR, NY 14564-1168
(585) 924-3252
(585) 742-7068
Mailing address
1290 YORK ST, LIMA, NY 14485-9746
(585) 624-8099
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
382685-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
082259
—
NY
Enumeration date
10/19/2011
Last updated
10/19/2011
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