Healthcare Provider Details

I. General information

NPI: 1053327684
Provider Name (Legal Business Name): LORI H SCHOLER CDN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 CRITTENDEN BLVD BOX 617
ROCHESTER NY
14642-8617
US

IV. Provider business mailing address

250 CRITTENDEN BLVD BOX 617
ROCHESTER NY
14642-8617
US

V. Phone/Fax

Practice location:
  • Phone: 585-275-2662
  • Fax: 585-276-0149
Mailing address:
  • Phone: 585-275-2662
  • Fax: 585-276-0149

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133VN1006X
TaxonomyMetabolic Nutrition Registered Dietitian
License Number001805-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: