National Provider Identifier

Lori Elizabeth Medeiros, MD

Lori Elizabeth Medeiros, MD is listed in the NPPES registry with a primary specialty of Surgery Physician in Rochester, NY and a listed phone number of (585) 487-1700.

NPI 1720017353Rochester, NYSurgery Physician

Profile Overview

NPI
1720017353
Provider Type
Individual
Primary Specialty
Surgery Physician
Enumeration Date
July 03, 2006
Last Updated
February 19, 2025

Practice Location

  • 125 Red Creek Dr Ste 211
  • Rochester, NY 14623-4262

Phone: (585) 487-1700

Mailing Address

  • 601 Elmwood Ave Box Surg
  • Rochester, NY 14642-8410

Specialties

  • Surgery Physician (208600000X)
Full Record
NPI
1720017353
Entity Type
Individual
Last Name
Medeiros
First Name
Lori
Middle Name
Elizabeth
Credential
MD
Mailing Street Address
601 Elmwood Ave Box Surg
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14642-8410
Mailing Country
US
Mailing Phone
(585) 487-1700
Practice Street Address
125 Red Creek Dr Ste 211
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14623-4262
Practice Country
US
Practice Phone
(585) 487-1700
Enumeration Date
July 03, 2006
Last Updated
February 19, 2025
Sex
Female
Sole Proprietor
Yes
Certification Date
February 19, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Surgery Physician (208600000X)
Other Identifiers
03033158 (NY)