Individual
MATTHEW LASHOMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
620 MADISON ST, SYRACUSE, NY 13210-2338
(315) 426-7652
Mailing address
620 MADISON ST, SYRACUSE, NY 13210-2338
(315) 426-7652
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
698541
NY
Other
Enumeration date
03/26/2019
Last updated
03/26/2019
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