Individual
LAUREN MAGNOTTA LAGROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
301 PROSPECT AVE, SYRACUSE, NY 13203-1807
(315) 481-8557
Mailing address
301 PROSPECT AVE, SYRACUSE, NY 13203-1807
(315) 481-8557
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
23013639
NY
Other
Enumeration date
02/05/2010
Last updated
02/05/2010
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