National Provider Identifier
Joel Lines, SRNA
Joel Lines, SRNA is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Buffalo, NY and a listed phone number of (716) 907-9542.
Profile Overview
- NPI
- 1073342812
- Provider Type
- Individual
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- July 30, 2024
- Last Updated
- July 30, 2024
Practice Location
- 3435 Main Street
- 326 Wende Hall
- Buffalo, NY 14214
Phone: (716) 907-9542
Mailing Address
- 3435 Main St
- Buffalo, NY 14214-3099
Specialties
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1073342812
- Entity Type
- Individual
- Last Name
- Lines
- First Name
- Joel
- Credential
- SRNA
- Mailing Street Address
- 3435 Main St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14214-3099
- Mailing Country
- US
- Practice Street Address
- 3435 Main Street
- Practice Address Line 2
- 326 Wende Hall
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14214
- Practice Country
- US
- Practice Phone
- (716) 907-9542
- Enumeration Date
- July 30, 2024
- Last Updated
- July 30, 2024
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- July 30, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Student in an Organized Health Care Education/Training Program (390200000X)