Southworth, Lori Jean

Southworth, Lori Jean is an sole proprietor health care provider with primary practice located at 1112 Indian Church Rd # 27, West Seneca NY 14224-1330. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Southworth, Lori Jean can be contacted via phone (716) 297-0798.

Contact Information

Primary practice address
1112 Indian Church Rd # 27 West Seneca NY 14224-1330
Phone: (716) 297-0798
Fax: (716) 297-0998
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1255693669
LBN Legal business name Southworth, Lori Jean
Credentials MS ED
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 12th, 2012
Last updated Jun 12th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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