Individual
LORA MARIE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
60 SOUTH ST, MANORVILLE, NY 11949-8501
(516) 902-1483
Mailing address
60 SOUTH ST, MANORVILLE, NY 11949-8501
(516) 902-1483
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
005521-1
NY
Other
Enumeration date
03/09/2015
Last updated
03/09/2015
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