Individual
DR. LORI A SHEPORAITIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
762 ROUTE 3, SUITE 14, PLATTSBURGH, NY 12901-7472
(518) 562-3204
(518) 563-0707
Mailing address
PO BOX 2007, EAST SYRACUSE, NY 13057-4507
(315) 362-5285
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2105604
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01827807
—
NY
Enumeration date
04/27/2006
Last updated
10/18/2020
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