Healthcare Provider Details

I. General information

NPI: 1982273322
Provider Name (Legal Business Name): HOLLY LORINSER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2021
Last Update Date: 06/21/2021
Certification Date: 06/21/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 WASON AVE STE 100
SPRINGFIELD MA
01107-1179
US

IV. Provider business mailing address

100 WASON AVE STE 100
SPRINGFIELD MA
01107-1179
US

V. Phone/Fax

Practice location:
  • Phone: 413-233-5051
  • Fax:
Mailing address:
  • Phone: 413-233-5051
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YX0602X
TaxonomyOtolaryngic Allergy Physician
License NumberRN260864
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: