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Organization

LATTIMORE ORTHOPAEDICS, P.C.

Active
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Organization

LATTIMORE ORTHOPAEDICS, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN D MARQUARDT M.D. (PRESIDENT)
(585) 473-1033
Entity
Organization

Contact information

Practice address
125 LATTIMORE RD, SUITE 100, ROCHESTER, NY 14620-4159
(585) 473-1033
(585) 473-8605
Mailing address
125 LATTIMORE RD, SUITE 100, ROCHESTER, NY 14620-4159
(585) 473-1033
(585) 473-8605

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
G0184760590
EXCELLUS BC BS
NY
Enumeration date
02/27/2006
Last updated
12/08/2009
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