Provider Demographics
NPI:1740446707
Name:SKINNER-DENISCO, LORI A (RN)
Entity type:Individual
Prefix:
First Name:LORI
Middle Name:A
Last Name:SKINNER-DENISCO
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 1:100 LOCKSLEY RD
Mailing Address - Street 2:
Mailing Address - City:LYNNFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01940-1414
Mailing Address - Country:US
Mailing Address - Phone:781-838-1564
Mailing Address - Fax:
Practice Address - Street 1:100 LOCKSLEY RD
Practice Address - Street 2:
Practice Address - City:LYNNFIELD
Practice Address - State:MA
Practice Address - Zip Code:01940-1414
Practice Address - Country:US
Practice Address - Phone:781-838-1564
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-30
Last Update Date:2008-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA191338163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse