Individual
KELLY LAMBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2605 BREWERTON RD, SYRACUSE, NY 13211-1147
(315) 455-9355
Mailing address
351 CLAIRMONTE AVE, SYRACUSE, NY 13207-1306
(315) 491-3021
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
027426
NY
Other
Enumeration date
10/14/2013
Last updated
10/14/2013
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