Individual
ERICA LAWLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
16 BRENTWOOD DR, SUITE A, ITHACA, NY 14850-1863
(607) 269-0033
Mailing address
84 CANAL ST, BIG FLATS, NY 14814-8968
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
19374
NY
363A00000X
Physician Assistant
Primary
019374
NY
Other
Enumeration date
03/25/2016
Last updated
06/29/2023
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