Individual
MR. LYNNFORD J SWEET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
168 N UNION ST, OLEAN, NY 14760-2735
(716) 372-9464
Mailing address
168 N UNION ST, OLEAN, NY 14760-2735
(716) 372-9464
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
C003108-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00646951
—
NY
Enumeration date
05/08/2008
Last updated
05/08/2008
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