Healthcare Provider Details

I. General information

NPI: 1336363308
Provider Name (Legal Business Name): LOIS V. HOWARD NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2007
Last Update Date: 01/06/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

655 LIBERTY ST
PENN YAN NY
14527-1048
US

IV. Provider business mailing address

655 LIBERTY ST
PENN YAN NY
14527-1048
US

V. Phone/Fax

Practice location:
  • Phone: 315-536-2311
  • Fax:
Mailing address:
  • Phone: 315-536-2311
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number301230
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: