Lois Damcott, RN

Individual provider Active NPI Registered Nurse · Mayville, NY

NPI 1053579359 · NPPES record last updated May 23, 2008

Key facts

NPI
1053579359
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
301189-1 (NY)
Practice address
7 N Erie St
Mayville, NY 14757-1090
Phone
(716) 753-4491
NPI assigned
May 23, 2008
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
301189-1NYMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 301189-1 NY Yes

Addresses

Primary practice location

7 N Erie St
Mayville, NY 14757-1090

Mailing address

7 N Erie St
Mayville, NY 14757-1090
Phone (716) 753-4491

Other providers in Mayville, NY

All providers in Mayville, NY · Registered Nurse in New York

Sources for this page

Verify at the official NPI Registry.