Lori Busch, DO

NPI #1043392517 in Mineola, New York

Provider Information

NPI Number: 1043392517
Entity Type: Individual
Name: Lori Busch, DO
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Internal Medicine
Credential: DO
Enumeration Date: Oct 20, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 259 1 STREET
Address 2: WINTHROP 2, ROOM 291
City: Mineola
State: New York
ZIP Code: 11501-3957
Phone: (516) 663-8693

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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