Active NPI
Alexandra Lore, L. AC.
- Acupuncturist
- Speonk, NY
National Provider Identifier
1366486573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 002672-01
- Practice address
- 295 Montauk Hwy
Speonk, NY 11934 - Phone
- (631) 255-0611
- NPI assigned
- Jun 16, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 002672-01 | NY | Primary |
Addresses
Primary practice location
295 Montauk Hwy
Speonk, NY 11934
Mailing address
PO Box 167
Speonk, NY 11972
Phone (631) 255-0611
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002672-1 | Other | NY | ACUPUNCTURIST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002672-01 | NY | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366486573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 167",
"city": "SPEONK",
"state": "NY",
"postal_code": "11972",
"telephone_number": "631-255-0611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "295 MONTAUK HWY",
"city": "SPEONK",
"state": "NY",
"postal_code": "11934",
"telephone_number": "631-255-0611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LORE",
"first_name": "ALEXANDRA",
"name_prefix": "Ms.",
"credential": "L. AC.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NY",
"license": "002672-01",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACUPUNCTURIST",
"identifier": "002672-1",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Speonk, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.