Provider Demographics
NPI:1467773309
Name:GRIFFIN-MORRA, LORI ANN (MSED)
Entity Type:Individual
Prefix:MRS
First Name:LORI
Middle Name:ANN
Last Name:GRIFFIN-MORRA
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:87 NEWFOUNDLAND AVE
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11743-4942
Mailing Address - Country:US
Mailing Address - Phone:631-368-1209
Mailing Address - Fax:
Practice Address - Street 1:87 NEWFOUNDLAND AVE
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:NY
Practice Address - Zip Code:11743-4942
Practice Address - Country:US
Practice Address - Phone:631-368-1209
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-15
Last Update Date:2019-08-22
Deactivation Date:2012-10-02
Deactivation Code:
Reactivation Date:2019-08-22
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist