Provider Demographics
NPI:1285639229
Name:MEYER-GEBO, LORIN BETH (FNP)
Entity Type:Individual
Prefix:MRS
First Name:LORIN
Middle Name:BETH
Last Name:MEYER-GEBO
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1550 EMPIRE BLVD
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:NY
Mailing Address - Zip Code:14580-2104
Mailing Address - Country:US
Mailing Address - Phone:585-922-2214
Mailing Address - Fax:585-922-2388
Practice Address - Street 1:1550 EMPIRE BLVD
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:NY
Practice Address - Zip Code:14580-2104
Practice Address - Country:US
Practice Address - Phone:585-922-2214
Practice Address - Fax:585-922-2388
Is Sole Proprietor?:No
Enumeration Date:2005-06-16
Last Update Date:2021-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF332879-1363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY500018714OtherRR MEDICARE NUMBER
NYP019332879OtherBLUE CHOICE NUMBER
NYCC6077Medicare ID - Type Unspecified
NY500018714OtherRR MEDICARE NUMBER