Individual
LORI ELIZABETH MEDEIROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
125 RED CREEK DR STE 211, ROCHESTER, NY 14623-4262
(585) 487-1700
Mailing address
601 ELMWOOD AVE BOX SURG, ROCHESTER, NY 14642-8410
(585) 487-1700
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
243139-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03033158
—
NY
Enumeration date
07/03/2006
Last updated
02/19/2025
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