Individual provider · Type 1 NPI
Lucille Lore, MSN FNP
Family Nurse Practitioner · Lake Grove, NY
NPI number
1659912608
Active
Practice location
2995 Middle Country Rd
Lake Grove, NY 11755-2138
Fax (631) 350-0324
Mailing address
1001 Hawkins Ave Unit 335
Lake Grove, NY 11755-5015
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | F344513-01 (NY) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
Other family nurse practitioner providers in Lake Grove
About NPI 1659912608
Lucille Lore, MSN FNP's National Provider Identifier is 1659912608, issued on Oct 1, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lake Grove, NY. The record was last updated on Oct 26, 2023.