Lori Beth Gundberg, LPN is a
Licensed Practical Nurse based in Olivebridge, New York. Lori Beth Gundberg is licensed to practice in New York (license number 267976) and her current practice location is
5040 Route 213, Olivebridge, New York. She can be reached at her office (for appointments etc.) via phone at
(845) 633-6232.
NPI number for Lori Beth Gundberg is 1598916520 and her current mailing address is Po Box 1428, 5040 Rt. 213, Olivebridge, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1598916520.
Provider's Profile
| Full Name | Lori Beth Gundberg |
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| Gender | Female |
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| Speciality | Licensed Practical Nurse |
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| Location | 5040 Route 213, Olivebridge, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1598916520
- Provider Enumeration Date: 10/08/2008
- Last Update Date: 10/08/2008
Medical Identifiers
Medical identifiers for Lori Beth Gundberg such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1598916520 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 267976 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lori Beth Gundberg is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Lori Beth Gundberg, LPN
Po Box 1428, 5040 Rt. 213,
Olivebridge, NY 12461-0428
Ph: (845) 633-6232 | Lori Beth Gundberg, LPN
5040 Route 213,
Olivebridge, NY 12461-5614
Ph: (845) 633-6232 |
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