Individual
MS. LORI LEE SAMUELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
818 EAST MAIN STREET, RIVERHEAD, NY 11901
(631) 591-1980
(631) 591-1980
Mailing address
818 EAST MAIN STREET, RIVERHEAD, NY 11901
(631) 591-1980
(631) 591-1980
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
003440
NY
Other
Enumeration date
04/02/2007
Last updated
07/21/2022
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