Individual
LORI A. LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
565 ABBOTT ROAD, BUFFALO, NY 14220-1114
(716) 826-6628
(716) 828-3448
Mailing address
515 ABBOTT ROAD, SUITE 410, BUFFALO, NY 14220-1114
(716) 826-6628
(716) 828-3448
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
274260
NY
363AS0400X
Surgical Physician Assistant
005596
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01792474
—
NY
Enumeration date
06/10/2005
Last updated
04/30/2014
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