Individual
LAWRENCIA I ENYIOHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
620 MADISON ST, SYRACUSE, NY 13210-2319
(315) 426-3600
Mailing address
6886 HEARTHSTONE LN, LIVERPOOL, NY 13088-5904
(609) 433-6444
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
650856
NY
Other
Enumeration date
11/01/2024
Last updated
11/01/2024
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