Individual
MRS. LORRAINE ROBERTA SANDWICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R-PAC
Contact information
Practice address
159 MARGARET ST, SUITE 100, PLATTSBURGH, NY 12901-1874
(518) 324-2040
(518) 324-2041
Mailing address
159 MARGARET ST, SUITE 100, PLATTSBURGH, NY 12901-1874
(518) 324-2040
(518) 324-2041
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
003126-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02743295
—
NY
Enumeration date
01/09/2007
Last updated
07/09/2007
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