Individual
DR. LORE LISA GARTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., P.H.D
Contact information
Practice address
10 BARBAROSSA LN, KINGSTON, NY 12401-1220
(845) 943-6091
Mailing address
19 BRADHURST AVE, HAWTHORNE, NY 10532-2140
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
224224
NY
2084N0400X
Neurology Physician
224224
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02244324
—
NY
Enumeration date
04/17/2006
Last updated
05/01/2023
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