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Organization
LYNDON PEDIATRIC ASSOCIATES
Active
Organization
LYNDON PEDIATRIC ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LETA DINEEN (BUSINESS MANAGER)
(315) 446-4580
Entity
Organization
Contact information
Practice address
6851 E GENESEE ST, FAYETTEVILLE, NY 13066-1023
(315) 446-4580
(315) 446-3426
Mailing address
6851 E GENESEE ST, FAYETTEVILLE, NY 13066-1023
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/20/2015
Last updated
05/20/2015
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