Individual ProviderLori Ann GulisanoLicensed Practical NurseNursing Service ProvidersPractice Address470 N Park Dr, Rochester, NY 14609-1026(585) 621-3955PECOS EnrollmentBased on the most recent information from CMS, provider Lori Ann Gulisano does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:33 PM.Profile DetailsProvider ID1780927673Provider TypeIndividualFull NameGulisano, Lori AnnTitleMissCredentialLPNGenderFemaleSole ProprietorYesEnumeration Date3/29/2013Last Updated3/29/2013Contact InformationPractice LocationPractice Address470 N Park Dr, Rochester, NY 14609-1026Phone(585) 621-3955FaxUnlisted FaxMailing LocationMailing Address470 N Park Dr, Rochester, NY 14609-1026Phone(585) 621-3955FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode164W00000XPrimaryDescriptionLicensed Practical NurseNursing Service ProvidersLicense304657-1New York