Doctor Name: | LORI J WILLSEY |
NPI Number: | 1013230432 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 10-240164 |
Business Practice Address: | 1050 W Genesee St Syracuse, NY - 132042215 |
Business Phone Number: | 3154243744 |
Business Fax Number: | 3154243745 |
Mailing Address: | 1050 W Genesee St, SYRACUSE |
State: | NY |
Postal Code: | 132042215 |
Phone Number: | 3154243744 |
Fax Number: | 3154243745 |
NPI Enumeration Date: | 03/12/2010 |
NPI Last Update Date: | 03/12/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 164W00000X |
License Number: | 10-240164 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Licensed Practical Nurse |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |