Individual
LAUREN ASHLEY DERHODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
254 FRANKLIN ST, BUFFALO, NY 14202-1932
(716) 551-7894
(168) 409-5937
Mailing address
462 GRIDER ST DEPT OF, BUFFALO, NY 14215-3021
(716) 898-4968
(716) 898-4447
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
281816
NY
Other
Enumeration date
04/16/2012
Last updated
10/21/2019
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