Individual
MRS. LYNN CAROL COPPOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,CDE
Contact information
Practice address
1 ATWELL RD, COOPERSTOWN, NY 13326-1301
(607) 547-6986
(607) 547-4648
Mailing address
PO BOX 725, COOPERSTOWN, NY 13326-0725
(607) 547-6986
(607) 547-4648
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
254776-1
NY
Other
Enumeration date
06/30/2010
Last updated
06/30/2010
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