Individual
ELIZABETH ANNE LAX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 ATWELL RD, COOPERSTOWN, NY 13326-1394
(607) 547-4625
Mailing address
1 ATWELL RD, COOPERSTOWN, NY 13326-1394
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
304988
NY
Other
Enumeration date
05/17/2011
Last updated
08/22/2020
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