Most Relevant Information
Provider Data
| NPI Number: | 1003306010 |
| Provider Name: | LORI MERCK |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/15/2018 |
| Last Updated: | 05/15/2018 |
Provider Practice Location
1 SCOUTING BLVD
MEDFORD
NY
117632220
Practice Location Phone/Fax
| Phone: | 6312973202 |
| Fax: |
Provider Mailing Location
1 SCOUTING BLVD
MEDFORD
NY
117632220
Provider Mailing Phone/Fax
| Phone: | 6312973202 |
| Fax: |