Individual
COLIN PORTER SWANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
523 HARRIS HILL RD, LANCASTER, NY 14086-9739
(716) 681-5404
Mailing address
523 HARRIS HILL RD, LANCASTER, NY 14086-9739
(716) 681-5404
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
209143-1
NY
Other
Enumeration date
09/08/2008
Last updated
09/08/2008
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