Individual
ALLISON WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5780 LEETE RD, LOCKPORT, NY 14094-1210
(716) 804-4220
Mailing address
5780 LEETE RD, LOCKPORT, NY 14094
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
0131000262
VA
Other
Enumeration date
05/20/2010
Last updated
05/20/2010
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