Provider Demographics
NPI:1831361435
Name:COLEMAN, LORNA JEAN (LPN)
Entity type:Individual
Prefix:MS
First Name:LORNA
Middle Name:JEAN
Last Name:COLEMAN
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 1:138 MILFORD ST
Mailing Address - Street 2:APT. #12
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14615-1807
Mailing Address - Country:US
Mailing Address - Phone:585-305-2707
Mailing Address - Fax:
Practice Address - Street 1:138 MILFORD ST
Practice Address - Street 2:APT. #12
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14615-1807
Practice Address - Country:US
Practice Address - Phone:585-305-2707
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-24
Last Update Date:2008-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY276183-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse