Provider Demographics
NPI:1245514157
Name:PITCHER, LORIE ANN (REGISTERED NURSE)
Entity type:Individual
Prefix:MRS
First Name:LORIE
Middle Name:ANN
Last Name:PITCHER
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 PERU RD
Mailing Address - Street 2:
Mailing Address - City:GROTON
Mailing Address - State:NY
Mailing Address - Zip Code:13073
Mailing Address - Country:US
Mailing Address - Phone:607-898-5858
Mailing Address - Fax:607-898-5824
Practice Address - Street 1:400 PERU RD
Practice Address - Street 2:
Practice Address - City:GROTON
Practice Address - State:NY
Practice Address - Zip Code:13073
Practice Address - Country:US
Practice Address - Phone:607-898-5858
Practice Address - Fax:607-898-5824
Is Sole Proprietor?:No
Enumeration Date:2011-10-11
Last Update Date:2011-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY4177736-RN163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool