Individual
LACEY GEMMELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN, AMB-BC
Contact information
Practice address
90 PRESIDENTIAL PLZ FL 4, SYRACUSE, NY 13202-2240
(315) 464-3836
Mailing address
104 E ROSWELL AVE, NEDROW, NY 13120-1014
(315) 464-3836
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
691586
NY
Other
Enumeration date
05/14/2026
Last updated
05/14/2026
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