Active NPI
Lucille Lore, NP in Family Health, PLLC
- Family Nurse Practitioner
- Lake Grove, NY
National Provider Identifier
1073386728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- LUCILLE LORE, NP IN FAMILY HEALTH, PLLC
- Practice address
- 2995 Middle Country Rd
Lake Grove, NY 11755-2138 - Phone
- (631) 615-7260
- NPI assigned
- Nov 3, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lucille Lore, FNP
- Title
- President
- Phone
- (631) 972-5997
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
2995 Middle Country Rd
Lake Grove, NY 11755-2138
Mailing address
1001 Hawkins Ave Unit 335
Lake Grove, NY 11755-5015
Phone (631) 972-5997
National Provider Directory
National Provider DirectoryLocations
1001 Hawkins Ave
Unit 335
Lake Grove, NY 11755
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698969600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1702252800000",
"number": "1073386728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 HAWKINS AVE UNIT 335",
"city": "LAKE GROVE",
"state": "NY",
"postal_code": "117555015",
"telephone_number": "631-972-5997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2995 MIDDLE COUNTRY RD",
"city": "LAKE GROVE",
"state": "NY",
"postal_code": "117552138",
"telephone_number": "631-615-7260"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUCILLE LORE, NP IN FAMILY HEALTH, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-03",
"last_updated": "2023-12-11",
"certification_date": "2023-12-11",
"status": "A",
"authorized_official_last_name": "LORE",
"authorized_official_first_name": "LUCILLE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "631-972-5997",
"authorized_official_credential": "FNP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Grove, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.