Healthcare Provider Details

I. General information

NPI: 1184947905
Provider Name (Legal Business Name): LORA ELAINE PRIOR RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/08/2010
Last Update Date: 03/08/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1924 STATE ROUTE 230
DUNDEE NY
14837-9474
US

IV. Provider business mailing address

1924 STATE ROUTE 230
DUNDEE NY
14837-9474
US

V. Phone/Fax

Practice location:
  • Phone: 607-346-6510
  • Fax:
Mailing address:
  • Phone: 607-346-6510
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number446659
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: