National Provider Identifier

Lori Ann Shaw

Lori Ann Shaw is listed in the NPPES registry with a primary specialty of Dental Hygienist in Rochester, NY and a listed phone number of (585) 690-2560.

NPI 1649653296Rochester, NYDental Hygienist

Profile Overview

NPI
1649653296
Provider Type
Individual
Primary Specialty
Dental Hygienist
Enumeration Date
July 01, 2015
Last Updated
July 01, 2015

Practice Location

  • 259 Monroe Ave
  • Rochester, NY 14607-3632

Phone: (585) 690-2560

Mailing Address

  • 12 Malin Ln
  • Penfield, NY 14526-2233

Specialties

  • Dental Hygienist (124Q00000X)
Full Record
NPI
1649653296
Entity Type
Individual
Last Name
Shaw
First Name
Lori Ann
Mailing Street Address
12 Malin Ln
Mailing City
Penfield
Mailing State
NY
Mailing ZIP Code
14526-2233
Mailing Country
US
Mailing Phone
(585) 690-2560
Practice Street Address
259 Monroe Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14607-3632
Practice Country
US
Practice Phone
(585) 690-2560
Enumeration Date
July 01, 2015
Last Updated
July 01, 2015
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Dental Hygienist (124Q00000X)