NPIMap

Organization Active NPI

Lucille Lore, Inc.

  • Physical Medicine & Rehabilitation Physician
  • Centereach, NY
National Provider Identifier
1740938786
Registry record updated Mar 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
LUCILLE LORE, INC.
Practice address
131 Cedar St
Centereach, NY 11720-3822
Phone
(631) 972-5997
NPI assigned
Mar 17, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lucille Lore, NPNPI 1659912608
Title
Owner
Phone
(631) 972-5997

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary
Pain Clinic/Center 261QP3300X

Addresses

Primary practice location

131 Cedar St
Centereach, NY 11720-3822

Mailing address

131 Cedar St
Centereach, NY 11720-3822
Phone (631) 972-5997

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1647475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648512000000",
    "number": "1740938786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 CEDAR ST",
            "city": "CENTEREACH",
            "state": "NY",
            "postal_code": "117203822",
            "telephone_number": "631-972-5997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 CEDAR ST",
            "city": "CENTEREACH",
            "state": "NY",
            "postal_code": "117203822",
            "telephone_number": "631-972-5997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCILLE LORE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-17",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A",
        "authorized_official_last_name": "LORE",
        "authorized_official_first_name": "LUCILLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-972-5997",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centereach, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.