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Individual

DR. DIANE LOTTEN GARMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, DC

Contact information

Practice address
142 FAIRPORT VILLAGE LNDG, FAIRPORT, NY 14450-1804
(585) 377-5890
(585) 377-5899
Mailing address
142 FAIRPORT VILLAGE LNDG, FAIRPORT, NY 14450-1804
(585) 377-5890

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X010725
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
657961
ACN
NY
01
7978493
AETNA
NY
01
C10725-2 W
WORKER'S COMP
NY
Enumeration date
08/10/2005
Last updated
09/21/2007
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