Lois Jordan
Licensed Practical Nurse in Rochester, NY. Individual provider (NPI-1).
NPI number1760614929
StatusActive
Last updated in NPPESMay 22, 2010
Details
- NPI
- 1760614929
- Entity type
- Individual (NPI-1)
- Name
- Lois Jordan
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 20, 2009
- Last updated
- May 22, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 297935 | NY | Yes |
Practice location
140 Green Knolls DrApt. A
Rochester, NY 14620-4815
Phone 585-734-2461
Mailing address
140 Green Knolls Dr Apt ARochester, NY 14620-4815
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