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Organization
LEWIS COUNTY
Active
Organization
LEWIS COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY THAYER (JAIL WARDEN/LIEUTENANT)
(315) 376-5290
Entity
Organization
Contact information
Practice address
5252 OUTER STOWE STREET, LOWVILLE, NY 13367
(315) 376-3511
(315) 376-6177
Mailing address
7660 NORTH STATE STREET, LOWVILLE, NY 13367
Taxonomy
Speciality
Code
Description
License number
State
261QP2400X
Prison Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
08/14/2026
Last updated
08/14/2026
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