Doctor Name: | MRS. LORI C. BALDANZA |
NPI Number: | 1144509845 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | F336911-1 |
Business Practice Address: | 1 Foxcare Dr Ste 308 Oneonta, NY - 138202086 |
Business Phone Number: | 6074321163 |
Business Fax Number: | 6074315367 |
Mailing Address: | 1 Foxcare Drive Suite 308, ONEONTA |
State: | NY |
Postal Code: | 13820 |
Phone Number: | 6074321163 |
Fax Number: | 6074315367 |
NPI Enumeration Date: | 08/11/2011 |
NPI Last Update Date: | 08/11/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | F336911-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |