Individual provider · Type 1 NPI
Lori Pennock
Specialist · Rockville Ctr, NY
NPI number
1255704441
Active
Practice location
5 Murray Ct
Rockville Ctr, NY 11570-6010
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | None listed |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
About NPI 1255704441
Lori Pennock's National Provider Identifier is 1255704441, issued on Nov 10, 2015. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Rockville Ctr, NY. The record was last updated on Jul 21, 2022.