Individual
LOU ANN GARTNER
Active
Individual
LOU ANN GARTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
171634
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010293201
UNIVERA
NY
01
—
000524607001
BC/BS
NY
01
—
0016896770001
PA MEDICAID
NY
05
—
01078317
—
NY
01
—
040426001274
FIDELIS
NY
01
—
4508512
IHA
NY
Enumeration date
11/02/2006
Last updated
09/22/2008
Update your record
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