Individual
AMY LYNN LATHROP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
303 LONG BRANCH RD, SYRACUSE, NY 13209-1007
(315) 657-0652
Mailing address
303 LONG BRANCH RD, SYRACUSE, NY 13209-1007
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
04/08/2021
Last updated
04/08/2021
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