National Provider Identifier
Lori Jean Southworth, MS ED
Lori Jean Southworth, MS ED is listed in the NPPES registry with a primary specialty of Specialist in West Seneca, NY and a listed phone number of (716) 297-0798.
Profile Overview
- NPI
- 1255693669
- Provider Type
- Individual
- Primary Specialty
- Specialist
- Enumeration Date
- June 12, 2012
- Last Updated
- June 12, 2012
Practice Location
- 1112 Indian Church RD
- # 27
- West Seneca, NY 14224-1330
Phone: (716) 297-0798
Specialties
- Specialist (174400000X)
Full Record
- NPI
- 1255693669
- Entity Type
- Individual
- Last Name
- Southworth
- First Name
- Lori
- Middle Name
- Jean
- Credential
- MS ED
- Mailing Street Address
- 1112 Indian Church RD
- Mailing Address Line 2
- # 27
- Mailing City
- West Seneca
- Mailing State
- NY
- Mailing ZIP Code
- 14224-1330
- Mailing Country
- US
- Mailing Phone
- (716) 297-0798
- Mailing Fax
- (716) 297-0998
- Practice Street Address
- 1112 Indian Church RD
- Practice Address Line 2
- # 27
- Practice City
- West Seneca
- Practice State
- NY
- Practice ZIP Code
- 14224-1330
- Practice Country
- US
- Practice Phone
- (716) 297-0798
- Practice Fax
- (716) 297-0998
- Enumeration Date
- June 12, 2012
- Last Updated
- June 12, 2012
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Specialist (174400000X)