Organization
MARY LOUISE LENAHAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY LOUISE LENAHAN MD (OWNER)
(716) 689-4377
Entity
Organization
Contact information
Practice address
9388 TRANSIT RD, EAST AMHERST, NY 14051-1494
(716) 689-4377
(716) 689-4843
Mailing address
9388 TRANSIT RD, EAST AMHERST, NY 14051-1494
(716) 689-4377
(716) 689-4843
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
153446-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010102801
UNIVERA
NY
01
—
000500619001
BCBS OF WNY
NY
01
—
0301329
IHA
NY
Enumeration date
11/07/2007
Last updated
11/07/2007
Update your record
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