Individual
LORA ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGNP-MS
Contact information
Practice address
145 W MONTAUK HWY, HAMPTON BAYS, NY 11946-4012
(631) 728-4700
Mailing address
145 W MONTAUK HWY, HAMPTON BAYS, NY 11946-4012
(631) 728-4700
(631) 723-4534
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F309374
NY
Other
Enumeration date
07/04/2014
Last updated
09/19/2019
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