Provider Demographics
NPI:1700194065
Name:VENTO, LORI-ANN (LPN)
Entity Type:Individual
Prefix:MISS
First Name:LORI-ANN
Middle Name:
Last Name:VENTO
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:94 BATHGATE ST
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10312-6140
Mailing Address - Country:US
Mailing Address - Phone:718-984-0904
Mailing Address - Fax:
Practice Address - Street 1:94 BATHGATE ST
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10312-6140
Practice Address - Country:US
Practice Address - Phone:718-984-0904
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-21
Last Update Date:2010-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY300824-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse