Lorraine Marie Lavery, MSED
Individual provider Active NPI Specialist · Florida, NY
NPI 1447515002 · NPPES record last updated Jul 10, 2012
Key facts
- NPI
- 1447515002
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- Practice address
- 464 Route 17a
Florida, NY 10921-1014 - Phone
- (845) 651-2251
- NPI assigned
- Jul 10, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | NY | Yes |
Addresses
Primary practice location
464 Route 17a
Florida, NY 10921-1014
Mailing address
237 Greeves Rd
New Hampton, NY 10958-3927
Phone (845) 416-0900
Other providers in Florida, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 10, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.