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Individual

MS. ALEXANDRA LORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
L. AC.

Contact information

Practice address
295 MONTAUK HWY, SPEONK, NY 11934
(631) 255-0611
Mailing address
PO BOX 167, SPEONK, NY 11972
(631) 255-0611

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
002672-01
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
002672-1
ACUPUNCTURIST
NY
Enumeration date
06/16/2006
Last updated
07/08/2007
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