Individual
PEGGY LICHTENTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
3306 DELAWARE AVE, KENMORE, NY 14217-1723
(716) 874-1609
Mailing address
116 PIN OAK CIR, GRAND ISLAND, NY 14072-1337
(716) 773-0135
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
001558-1
NY
Other
Enumeration date
09/14/2006
Last updated
07/08/2007
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