Organization
LYNDA M SORENSEN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LYNDA M SORENSEN MD,PC MD (SOLE OFFICER/DIRECTOR)
(716) 694-8851
Entity
Organization
Contact information
Practice address
12 WHITING ST, NORTH TONAWANDA, NY 14120-6124
(716) 694-8851
(716) 694-5941
Mailing address
12 WHITING ST, NORTH TONAWANDA, NY 14120-6124
(716) 694-8851
(716) 694-5941
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
173722
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010170501
UNIVERA HEALTHCARE
—
01
—
000510939001
BCBS WNY
—
01
—
0307845
INDEPENDENT HEALTH
—
01
—
070017414
RAILROAD MEDICARE
—
Enumeration date
02/23/2012
Last updated
02/23/2012
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