Individual
GINGER LEE CANNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
7785 N STATE ST, LOWVILLE, NY 13367-1229
(315) 376-5200
Mailing address
42740 AVERY RD, NATURAL BRIDGE, NY 13665-3127
(315) 681-3149
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
032495
NY
Other
Enumeration date
08/28/2024
Last updated
08/28/2024
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