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Individual

MRS. CHARLENE RENE LANIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
150 STAHL RD, GETZVILLE, NY 14068-1231
(716) 629-3466
Mailing address
122 WILLIAM ST, TONAWANDA, NY 14150-3424
(716) 334-1133

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
NY
174400000X
Specialist

Other

Enumeration date
09/18/2012
Last updated
03/13/2016
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