MEDICARE: LORA MAYE

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
1	374U00000X	Home Health Aide		NY

General Provider Information

NPI Number	:	1265835052
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LORA MAYE

Provider Business Mailing Address
First Line	:	2401 WHITNEY AVE LOWR
Second Line	:
City	:	NIAGARA FALLS
State	:	NY
Zip	:	14301-1429
Country	:	US
Telephone Number	:	716-342-4138
Fax Number	:

Provider Business Practice Location Address
First Line	:	2401 WHITNEY AVE LOWR
Second Line	:
City	:	NIAGARA FALLS
State	:	NY
Zip	:	14301-1429
Country	:	US
Telephone Number	:	716-342-4138
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/07/2014
Last Update Date	:	10/07/2014

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Directions to “ LORA MAYE ” Practice Location

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