Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 126800000X | Dental Assistant |
NPI | 1093923344 |
---|---|
Provider Name | Mrs. Nikol Lori Skorec |
First Address | Clarks Summit, PA 18411-2813 |
Second Address | Clarks Summit, PA 18411-2813 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/05/2007 |
Last Update Date | 08/07/2007 |