Individual
GRETCHEN SUE LANSING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2733 MAIN ST, LAKE PLACID, NY 12946-3317
(518) 523-3780
Mailing address
2733 MAIN ST, LAKE PLACID, NY 12946-3317
(518) 523-3780
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
008559
NY
Other
Enumeration date
08/20/2008
Last updated
08/20/2008
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