Active NPI
Lucille Lore, MSN FNP
- Family Nurse Practitioner
- Lake Grove, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F344513-01
- Practice address
- 2995 Middle Country Rd
Lake Grove, NY 11755-2138 - Phone
- (631) 972-5997
- Fax
- (631) 350-0324
- NPI assigned
- Oct 1, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F344513-01 | NY | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F344513-01 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore Hematology Oncology Associates PC | Current | Accepting new patients | |
| My Medical PC | Current | Accepting new patients | |
| Lucille Lore, Inc. | Current | Accepting new patients | |
| North Shore Hematology Oncology Associates PC | Past | Accepting new patients | |
| K & H Medical PLLC | Past | Accepting new patients |
Locations
69 W Main St
Bay Shore, NY 11706
Phone (631) 665-4044
1377 5th Ave
Bay Shore, NY 11706
Phone (631) 336-7327
581 Middle Rd
Bayport, NY 11705
Phone (631) 472-8100
3438 Bell Blvd
Ste 301
Bayside, NY 11361
147 2nd Ave
Brentwood, NY 11717
Phone (631) 273-7204
2830 Pitkin Ave
Brooklyn, NY 11208
Phone (347) 420-8295
32645 Main Rd
Ste 78
Cutchogue, NY 11935
8008 45th Ave
Flushing, NY 11373
Phone (718) 373-0777
805 Northern Blvd
Ste 4
Great Neck, NY 11021
900 Main St
Holbrook, NY 11741
Phone (631) 588-4486
2835 Middle Country Rd
Lake Grove, NY 11755
Phone (631) 467-3564
3016 30th Dr
Long Island City, NY 11102
Phone (718) 728-3376
701 Route 25A
Mount Sinai, NY 11766
Phone (631) 331-4403
822 Cedar Ave
Niagara Falls, NY 14301
Phone (716) 272-1207
1061 N Broadway
Ste 2
North Massapequa, NY 11758
Phone (516) 420-4300
1500 Route 112
Bldg 4
Port Jefferson Station, NY 11776
Phone (631) 574-8354
5316 Nesconset Hwy
Port Jefferson Station, NY 11776
Phone (631) 689-7800
300 Old Country Rd
Riverhead, NY 11901
Phone (631) 686-2580
448 Griffing Ave
Riverhead, NY 11901
Phone (631) 369-7080
333 Route 25A
Ste 40
Rocky Point, NY 11778
Phone (631) 209-0050
217 Portion Rd
Ronkonkoma, NY 11779
Phone (631) 588-4860
267 E Main St
Bldg A
Smithtown, NY 11787
Phone (631) 724-2000
267 E Middle Country Rd
Smithtown, NY 11787
Phone (631) 366-0969
48 Route 25A
Smithtown, NY 11787
Phone (631) 862-3540
6144 Route 25A
Ste 14
Wading River, NY 11792
Phone (631) 707-8771
Interoperability endpoints
- lucille.lorefnp@lln-ny.direct.office.nextgen.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Port Jefferson Station, NY
- NPI 1396794574
-
- Physical Medicine & Rehabilitation Physician
- Centereach, NY
- NPI 1740938786
-
- Family Medicine Physician
- Valley Cottage, NY
- NPI 1518637891
-
- Vascular & Interventional Radiology Physician
- Bethpage, NY
- NPI 1518458751
-
- Hematology & Oncology Physician
- New Hyde Park, NY
- NPI 1164460754
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698278400000",
"number": "1659912608",
"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": "631-972-5997",
"fax_number": "631-350-0324"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LORE",
"first_name": "LUCILLE",
"name_prefix": "Mrs.",
"credential": "MSN FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-01",
"last_updated": "2023-10-26",
"certification_date": "2023-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F344513-01",
"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 Oct 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.