Provider Demographics
NPI:1700868536
Name:GMEREK, LORI ANN (RPA-C)
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:ANN
Last Name:GMEREK
Suffix:
Gender:F
Credentials:RPA-C
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Mailing Address - Street 1:3925 SHERIDAN DR
Mailing Address - Street 2:STE 100
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14226-1738
Mailing Address - Country:US
Mailing Address - Phone:716-250-6492
Mailing Address - Fax:716-250-6522
Practice Address - Street 1:8750 TRANSIT RD
Practice Address - Street 2:SUITE 105
Practice Address - City:EAST AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14051-2610
Practice Address - Country:US
Practice Address - Phone:716-636-1470
Practice Address - Fax:716-636-1423
Is Sole Proprietor?:No
Enumeration Date:2005-11-17
Last Update Date:2019-09-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY009399363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP92974Medicare UPIN
NYDD6195Medicare ID - Type UnspecifiedMEDICARE #