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Individual

DR. LORI ANN DEFREEST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD, PHD

Contact information

Practice address
47 NEW SCOTLAND AVE, ALBANY, NY 12208-3412
(518) 262-2000
Mailing address
47 NEW SCOTLAND AVE, ALBANY, NY 12208-3412
(518) 262-2000

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
278120
NY
390200000X
Student in an Organized Health Care Education/Training Program
62821
NY

Other

Enumeration date
05/14/2009
Last updated
10/30/2024
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