Individual
MS. LORA ANNE BUCK ULRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSED
Contact information
Practice address
1005 LAKESHORE DR, MASSAPEQUA PARK, NY 11762-2616
(516) 581-3099
Mailing address
1005 LAKESHORE DR, MASSAPEQUA PARK, NY 11762-2616
(516) 581-3099
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
NY
Other
Enumeration date
07/02/2018
Last updated
07/21/2022
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