MEDICARE: L WOERNER INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588938864
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	L WOERNER INC

Provider Business Mailing Address
First Line	:	85 METRO PARK
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14623-2607
Country	:	US
Telephone Number	:	585-272-1930
Fax Number	:	585-272-7445

Provider Business Practice Location Address
First Line	:	176 US OVAL
Second Line	:	SUITE 3
City	:	PLATTSBURGH
State	:	NY
Zip	:	12903-3900
Country	:	US
Telephone Number	:	518-310-0900
Fax Number	:	518-310-0885

Authorized Official
Title or Position	:	CEO
Name	:	MS. LOUISE WORNER
Credential	:
Telephone Number	:	585-272-1930

Provider Enumeration Date	:	03/03/2012
Last Update Date	:	06/06/2015

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Directions to “L WOERNER INC ” Practice Location

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