Doctor Name: | LORI JEANNE MCKEE |
NPI Number: | 1104126549 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.A. |
License Number: | 014328 |
Business Practice Address: | 6668 Fourth Section Rd Brockport, NY - 144202448 |
Business Phone Number: | 5853686870 |
Business Fax Number: | 5853686871 |
Mailing Address: | 6668 Fourth Section Rd, BROCKPORT |
State: | NY |
Postal Code: | 144202448 |
Phone Number: | 5853686870 |
Fax Number: | 5853686871 |
NPI Enumeration Date: | 11/02/2010 |
NPI Last Update Date: | 11/09/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 014328 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |