Provider Demographics
NPI:1700053758
Name:AUSTER, LORI A (DDS)
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:A
Last Name:AUSTER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:280 MAMARONECK AVE STE 211
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10605-1461
Mailing Address - Country:US
Mailing Address - Phone:914-948-5577
Mailing Address - Fax:914-948-5577
Practice Address - Street 1:280 MAMARONECK AVE STE 211
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10605-1461
Practice Address - Country:US
Practice Address - Phone:914-948-5577
Practice Address - Fax:914-948-5577
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-09
Last Update Date:2008-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY035999122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist