Healthcare Provider Details

I. General information

NPI: 1649285354
Provider Name (Legal Business Name): L WOERNER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2006
Last Update Date: 06/06/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

85 METRO PARK
ROCHESTER NY
14623-2607
US

IV. Provider business mailing address

85 METRO PARK
ROCHESTER NY
14623-2607
US

V. Phone/Fax

Practice location:
  • Phone: 585-272-1901
  • Fax: 585-272-7445
Mailing address:
  • Phone: 585-272-1901
  • Fax: 585-272-7445

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number2701603
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number2701603
License Number StateNY

VIII. Authorized Official

Name: MS. LOUISE WOERNER
Title or Position: CEO
Credential:
Phone: 585-272-1901