Basic Information
| Provider Information | |||||||||
| NPI: | 1639494388 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HASPETT | ||||||||
| FirstName: | LORI | ||||||||
| MiddleName: | ANNE | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | REGISTERED NURSE | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1300 NIAGARA ST | ||||||||
| Address2: | |||||||||
| City: | BUFFALO | ||||||||
| State: | NY | ||||||||
| PostalCode: | 142131503 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7168822127 | ||||||||
| FaxNumber: | 7168829277 | ||||||||
| Practice Location | |||||||||
| Address1: | 1300 NIAGARA ST | ||||||||
| Address2: | |||||||||
| City: | BUFFALO | ||||||||
| State: | NY | ||||||||
| PostalCode: | 142131503 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7168822127 | ||||||||
| FaxNumber: | 7168829277 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/06/2010 | ||||||||
| LastUpdateDate: | 11/17/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163WP0809X | 332915 | NY | N | Nursing Service Providers | Registered Nurse | Psych/Mental Health, Adult | 363LP0808X | 401318 | NY | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Psych/Mental Health |
No ID Information.