Individual
LORI A TELLER-MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15 HIDDEN MEADOW, PENFIELD, NY 14526
(585) 233-5302
Mailing address
15 HIDDEN MDW, PENFIELD, NY 14526-1652
(585) 233-5302
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
082727-1
NY
Other
Enumeration date
10/17/2017
Last updated
10/17/2017
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