Individual
BETH A. LANCTOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
789 PRE EMPTION RD, GENEVA, NY 14456-2069
(315) 781-2000
Mailing address
789 PRE EMPTION RD, GENEVA, NY 14456-2069
(315) 781-2000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10000525
IN
363AM0700X
Medical Physician Assistant
10000525
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00924298
RAILROAD MEDICARE PTAN
IN
Enumeration date
10/07/2005
Last updated
02/14/2024
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