{"npi":"1376652883","type":"NPI-1","status":"active","name":{"display":"Dr. Lori Lebow M.D.","other":[{"code":"1","type":"Formerly known as","value":"GRONINGA, LORI CHARLOTTE"}],"first":"LORI","last":"LEBOW","middle":"CHARLOTTE","credential":"M.D."},"specialty":{"primary_taxonomy":"207W00000X","primary_taxonomy_description":"Ophthalmology Physician","slug":"ophthalmology-physician","schema_org_specialty":null,"all":[{"code":"207W00000X","description":"Ophthalmology Physician","primary":true,"state":"GA","license":"MD0000040503"}]},"addresses":[{"purpose":"LOCATION","street_1":"2061 BEVERLY RD","city":"GAINESVILLE","state":"GA","postal_code":"305012034","country_code":"US","phone":"7705324444","fax":"7705351852"},{"purpose":"MAILING","street_1":"2061 BEVERLY RD","city":"GAINESVILLE","state":"GA","postal_code":"305012034","country_code":"US","phone":"7705324444","fax":"7705351852"}],"license":{"state":"GA","number":"MD0000040503"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"003101473A","state":"GA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20101202000827","type_code":"14-18","type_desc":"PRACTITIONER - OPHTHALMOLOGY","state":"GA","pac_id":"4385689124"}]},"enumeration_date":"2006-08-29","last_updated":"2021-10-21","_meta":{"source":"NPPES","snapshot_date":"2021-10-21","doc_url":"https://findmynpi.com/api"}}