Provider Demographics
NPI:1265600142
Name:KORZENIOWSKI, LORI A (RN, MA, CDOE)
Entity type:Individual
Prefix:
First Name:LORI
Middle Name:A
Last Name:KORZENIOWSKI
Suffix:
Gender:F
Credentials:RN, MA, CDOE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:91 COUNTRYSIDE DR
Mailing Address - Street 2:
Mailing Address - City:CUMBERLAND
Mailing Address - State:RI
Mailing Address - Zip Code:02864-2616
Mailing Address - Country:US
Mailing Address - Phone:401-405-0338
Mailing Address - Fax:
Practice Address - Street 1:91 COUNTRYSIDE DR
Practice Address - Street 2:
Practice Address - City:CUMBERLAND
Practice Address - State:RI
Practice Address - Zip Code:02864-2616
Practice Address - Country:US
Practice Address - Phone:401-405-0338
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-13
Last Update Date:2008-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIRN36795163WC3500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC3500XNursing Service ProvidersRegistered NurseCardiac Rehabilitation