Provider Demographics
NPI:1952420440
Name:SCHOFIELD, LORI A (LMT)
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:A
Last Name:SCHOFIELD
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 BENEDICT ST
Mailing Address - Street 2:
Mailing Address - City:PERRY
Mailing Address - State:NY
Mailing Address - Zip Code:14530-1118
Mailing Address - Country:US
Mailing Address - Phone:585-237-5520
Mailing Address - Fax:
Practice Address - Street 1:34 BENEDICT ST
Practice Address - Street 2:
Practice Address - City:PERRY
Practice Address - State:NY
Practice Address - Zip Code:14530-1118
Practice Address - Country:US
Practice Address - Phone:585-237-5520
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0150961174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist