Individual
MS. LANNY L CLEARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
396 BROADWAY, KINGSTON, NY 12401-4626
(845) 331-3131
Mailing address
9 HIGHLAND AVE APT 14, CATSKILL, NY 12414-1753
(518) 935-0417
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F308198-1
NY
Other
Enumeration date
06/30/2017
Last updated
06/30/2017
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