Individual
MRS. LORI WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NPRN
Contact information
Practice address
59 SOUTHERN BLVD, NESCONSET, NY 11767-1090
(631) 659-1700
(631) 659-1743
Mailing address
59 SOUTHERN BLVD, NESCONSET, NY 11767-1090
(631) 659-1700
(631) 659-1743
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
303859
NY
Other
Enumeration date
12/24/2007
Last updated
03/02/2012
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