National Provider Identifier

Loretta Anne Brigman, PA

Loretta Anne Brigman, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Brockport, NY and a listed phone number of (585) 395-6095.

NPI 1881766368Brockport, NYPhysician Assistant

Profile Overview

NPI
1881766368
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
November 14, 2006
Last Updated
July 08, 2007

Practice Location

  • 156 West Ave
  • Brockport, NY 14420-1229

Phone: (585) 395-6095

Mailing Address

  • 13 Maple Ave
  • Corfu, NY 14036-9308

Specialties

  • Physician Assistant (363A00000X)
Full Record
NPI
1881766368
Entity Type
Individual
Last Name
Brigman
First Name
Loretta
Middle Name
Anne
Name Prefix
Mrs.
Credential
PA
Mailing Street Address
13 Maple Ave
Mailing City
Corfu
Mailing State
NY
Mailing ZIP Code
14036-9308
Mailing Country
US
Mailing Phone
(585) 395-6095
Mailing Fax
(585) 395-6025
Practice Street Address
156 West Ave
Practice City
Brockport
Practice State
NY
Practice ZIP Code
14420-1229
Practice Country
US
Practice Phone
(585) 395-6095
Practice Fax
(585) 395-6025
Enumeration Date
November 14, 2006
Last Updated
July 08, 2007
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X)