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NPI Code Detail

MEDICARE: DR. LORA MARIE ABELL M.D.

MEDICARE: DR. LORA MARIE ABELL M.D.
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
1207Q00000XFamily Medicine Physician238220-1NY

General Provider Information

NPI Number : 1710063466
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LORA MARIE ABELL M.D.
Provider Business Mailing Address
First Line : PO BOX 363
Second Line :
City : WEST SAND LAKE
State : NY
Zip : 12196-0363
Country : US
Telephone Number : 518-367-3278
Fax Number : 518-367-2170
Provider Business Practice Location Address
First Line : 11 CORPORATE WOODS BLVD
Second Line :
City : ALBANY
State : NY
Zip : 12211-2345
Country : US
Telephone Number : 518-367-3278
Fax Number : 518-367-2170
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2006
Last Update Date : 07/08/2007

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