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Lisa Ann Kolts, LPN

Licensed Practical Nurse in Cortland, NY. Individual provider (NPI-1).

NPI number1124476932
StatusActive
Last updated in NPPESJun 2, 2016

Details

NPI
1124476932
Entity type
Individual (NPI-1)
Name
Lisa Ann Kolts
Credential
LPN
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 2, 2016
Last updated
Jun 2, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164W00000X Licensed Practical Nurse323479-1NYYes

Practice location

150 Elm St
Cortland, NY 13045-2321

Phone 619-757-5716

Mailing address

150 Elm St
Cortland, NY 13045-2321

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