Individual
LORI MICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
529 CENTRAL AVE, DUNKIRK, NY 14048-2514
(716) 366-1111
Mailing address
50 ALCONA AVE, AMHERST, NY 14226-2201
(716) 834-1193
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
218379
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00025832502
UNIVERA
NY
01
—
000526301005
BLUE CROSS
NY
05
—
02153217
—
NY
01
—
040426003298
FIDELISCARE
NY
01
—
3911163
INDEPENDENT HEALTH
NY
01
—
P00069714
RAILROAD MEDICARE
NY
Enumeration date
08/19/2006
Last updated
03/11/2009
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