Provider Demographics
NPI:1265702815
Name:PIKE, LORI ANN (RN)
Entity type:Individual
Prefix:MRS
First Name:LORI
Middle Name:ANN
Last Name:PIKE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38 SCHOOL STREET
Mailing Address - Street 2:
Mailing Address - City:GUILFORD
Mailing Address - State:NY
Mailing Address - Zip Code:13780
Mailing Address - Country:US
Mailing Address - Phone:607-895-6703
Mailing Address - Fax:607-895-6713
Practice Address - Street 1:38 SCHOOL STREET
Practice Address - Street 2:
Practice Address - City:GUILFORD
Practice Address - State:NY
Practice Address - Zip Code:13780
Practice Address - Country:US
Practice Address - Phone:607-895-6703
Practice Address - Fax:607-895-6713
Is Sole Proprietor?:No
Enumeration Date:2012-01-12
Last Update Date:2012-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY493064-1163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool