Individual
LYNN LOUISE DURFEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1555 LONG POND RD, ROCHESTER, NY 14626-4122
(585) 368-3213
Mailing address
1555 LONG POND RD, ROCHESTER, NY 14626-4122
(585) 368-3213
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
004048-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02407069
—
NY
01
—
P019004048
EXCELLUS BC/BS
NY
Enumeration date
07/25/2006
Last updated
06/09/2009
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