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Individual

DR. LORI E. ULLMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
325 ESSJAY RD, WILLIAMSVILLE, NY 14221-8243
(716) 630-1136
(716) 250-5913
Mailing address
6255 SHERIDAN DR, SUITE 304, WILLIAMSVILLE, NY 14221-4836
(716) 630-1219
(716) 817-1726

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
216133-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00021015002
UNIVERA
NY
01
000525964002
HEALTH NOW
NY
05
02049232
NY
01
0310949
IHA
NY
01
070017767
RR MEDICARE
NY
01
161000580
EMPIRE PLAN
NY
01
216133-9B
WORKER'S COMPENSATION
NY
01
50128000068
FIDELIS
NY
Enumeration date
01/13/2006
Last updated
07/28/2016
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