Individual
LYNN D FABRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1375 WASHINGTON AVE, SUITE 101, ALBANY, NY 12206-1040
(518) 438-4483
(518) 482-4201
Mailing address
1375 WASHINGTON AVE, SUITE 101, ALBANY, NY 12206-1040
(518) 438-4483
(518) 482-4201
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
303460
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02250640
—
NY
Enumeration date
10/20/2005
Last updated
03/23/2015
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