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NPI Code Detail

MEDICARE: MRS. LORIN BETH MEYER-GEBO F.N.P.

MEDICARE: MRS. LORIN BETH MEYER-GEBO F.N.P.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerF332879-1NY

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1500018714OTHERNYRR MEDICARE NUMBER

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P019332879OTHERNYBLUE CHOICE NUMBER

General Provider Information

NPI Number : 1285639229
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LORIN BETH MEYER-GEBO F.N.P.
Provider Business Mailing Address
First Line : 1550 EMPIRE BLVD
Second Line :
City : WEBSTER
State : NY
Zip : 14580-2104
Country : US
Telephone Number : 585-922-2214
Fax Number : 585-922-2388
Provider Business Practice Location Address
First Line : 1550 EMPIRE BLVD
Second Line :
City : WEBSTER
State : NY
Zip : 14580-2104
Country : US
Telephone Number : 585-922-2214
Fax Number : 585-922-2388
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2005
Last Update Date : 04/16/2021

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