Individual
LORA DIBNER-GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5925 15TH AVE, BROOKLYN, NY 11219-5009
(718) 972-2700
(718) 532-1724
Mailing address
5925 15TH AVE, BROOKLYN, NY 11219-5009
(718) 972-2700
(718) 532-1724
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
F001554
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03829476
—
NY
Enumeration date
12/30/2013
Last updated
06/10/2014
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