National Provider Identifier

Lois Jordan

Lois Jordan is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 734-2461.

NPI 1760614929Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1760614929
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
August 20, 2009
Last Updated
May 22, 2010

Practice Location

  • 140 Green Knolls Dr
  • Apt. A
  • Rochester, NY 14620-4815

Phone: (585) 734-2461

Mailing Address

  • 140 Green Knolls Dr Apt A
  • Rochester, NY 14620-4815

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1760614929
Entity Type
Individual
Last Name
Jordan
First Name
Lois
Mailing Street Address
140 Green Knolls Dr Apt A
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14620-4815
Mailing Country
US
Practice Street Address
140 Green Knolls Dr
Practice Address Line 2
Apt. A
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14620-4815
Practice Country
US
Practice Phone
(585) 734-2461
Enumeration Date
August 20, 2009
Last Updated
May 22, 2010
Sex
Female
Sole Proprietor
Yes
Taxonomies
Licensed Practical Nurse (164W00000X)