Lori Jean Southworth, MS ED
NPI #1255693669 in West Seneca, New York
Provider Information
- NPI Number
- 1255693669
- Entity Type
- Individual
- Name
- Lori Jean Southworth, MS ED
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Credential
- MS ED
- Enumeration Date
- Jun 12, 2012
- Last Updated
- Jun 12, 2012
Practice Location
- Address
- 1112 INDIAN CHURCH RD
- Address 2
- # 27
- City
- West Seneca
- State
- New York
- ZIP Code
- 14224-1330
- Phone
- (716) 297-0798
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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